National Provider Identifier Database

NORTHEAST PHYSICAL THERAPY PLLC
Orthopedic

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.


Contact Information

NORTHEAST PHYSICAL THERAPY PLLC
275 N MIDDLETOWN RD STE 1B
PEARL RIVER, NY10965-1191
Phone: 845-623-6566
Fax: 845-623-6556
Website:
Specialty Taxonomy Code
* Orthopedic 2251X0800X
Hand 2251H1200X

* Indicates primary specialty

NPI Profile & details for NORTHEAST PHYSICAL THERAPY PLLC

NPI Number 1467112854
Legal business name
LBN
NORTHEAST PHYSICAL THERAPY PLLC
Authorized official SUDHIR TAWALARE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/27/2021
Last updated 12/27/2021 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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