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Contact Information

ENERGIZE HOME PHYSICAL THERAPY PLLC
33 GREAT OAK RD
SAINT JAMES, NY11780-1414
 Phone: 631-951-7776
 Fax: 631-382-8324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ENERGIZE HOME PHYSICAL THERAPY PLLC

NPI Number 1356849491
LBN Legal business name ENERGIZE HOME PHYSICAL THERAPY PLLC
Authorized official JILLIAN MILIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2018
Last updated 04/12/2020 - About 6 years ago
Identifiers
NY License # 0329931
NY Medicaid AS87
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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