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NPI Code Detail

MEDICARE: VITAL CARE PHYSICAL THERAPY PLLC

MEDICARE: VITAL CARE PHYSICAL THERAPY PLLC
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
1225100000XPhysical Therapist036535NY

General Provider Information

NPI Number : 1013417054
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITAL CARE PHYSICAL THERAPY PLLC
Provider Business Mailing Address
First Line : 2075 E 65TH ST FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5913
Country : US
Telephone Number : 347-522-2934
Fax Number :
Provider Business Practice Location Address
First Line : 2075 E 65TH ST FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5913
Country : US
Telephone Number : 347-522-2934
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JONATHAN EINHORN
Credential : DPT
Telephone Number : 347-522-2934
Provider Enumeration Date : 02/16/2018
Last Update Date : 11/12/2025

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Directions to “VITAL CARE PHYSICAL THERAPY PLLC ” Practice Location

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