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Contact Information

ACTIVEPRO PHYSICAL THERAPY PC
817 E 180TH ST
BRONX, NY10460-1305
 Phone: 718-220-6262
 Fax: 718-355-9652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ACTIVEPRO PHYSICAL THERAPY PC

NPI Number 1477976389
LBN Legal business name ACTIVEPRO PHYSICAL THERAPY PC
Authorized official RICHARD HOLSMAN - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2014
Last updated 01/28/2014 - About 12 years ago
Identifiers
NY License # 014206
NY License # 016043
NY License # 019510
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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