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NPI Code Detail

MEDICARE: CREATIVITY REHABILITATION PHYSICAL THERAPY

MEDICARE: CREATIVITY REHABILITATION PHYSICAL THERAPY
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 Therapist022447NY

General Provider Information

NPI Number : 1215283064
Entity Type Code : Organization
Provider Name (Legal Business Name) : CREATIVITY REHABILITATION PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 955 E 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-3611
Country : US
Telephone Number : 347-675-2919
Fax Number : 347-554-8202
Provider Business Practice Location Address
First Line : 1648 E 14TH ST STE 4
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1175
Country : US
Telephone Number : 347-554-8201
Fax Number : 347-554-8202
Authorized Official
Title or Position : OWNER
Name : HAMID ASKARINAM
Credential : PT
Telephone Number : 347-675-2919
Provider Enumeration Date : 07/31/2012
Last Update Date : 12/16/2014

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Directions to “CREATIVITY REHABILITATION PHYSICAL THERAPY ” Practice Location

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