MEDICARE: HANDS ON 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	174400000X	Specialist

General Provider Information

NPI Number	:	1053347682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS ON PHYSICAL THERAPY, PC

Provider Business Mailing Address
First Line	:	3636 33RD ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11106-2329
Country	:	US
Telephone Number	:	718-707-6970
Fax Number	:	718-707-6977

Provider Business Practice Location Address
First Line	:	8012 3RD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3802
Country	:	US
Telephone Number	:	718-491-5454
Fax Number	:	718-491-2995

Authorized Official
Title or Position	:	CO-OWNER
Name	:	KONSTANTINE RIZOPOULOS
Credential	:	PT,FABS
Telephone Number	:	718-626-2699

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	08/22/2020

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