MEDICARE: AMERICAN PLANET PHYSICAL THERAPY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1003681636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN PLANET PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	8724 16TH AVE # 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4526
Country	:	US
Telephone Number	:	929-502-8523
Fax Number	:

Provider Business Practice Location Address
First Line	:	8211 37TH AVE STE 602
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7015
Country	:	US
Telephone Number	:	718-440-9711
Fax Number	:

Authorized Official
Title or Position	:	HEAD
Name	:	MAHMOUD A SOLOMA
Credential	:	DPT
Telephone Number	:	929-502-8523

Provider Enumeration Date	:	11/27/2023
Last Update Date	:	11/27/2023

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