MEDICARE: MR. TODD A HOFFMAN M.S. P.T.

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	225100000X	Physical Therapist	024808	NY

General Provider Information

NPI Number	:	1235271875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TODD A HOFFMAN M.S. P.T.

Provider Business Mailing Address
First Line	:	1470 SUNRISE HWY
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-6021
Country	:	US
Telephone Number	:	631-446-1480
Fax Number	:	631-446-1480

Provider Business Practice Location Address
First Line	:	21 BARSTOW RD
Second Line	:	APT 2G
City	:	GREAT NECK
State	:	NY
Zip	:	11021-2215
Country	:	US
Telephone Number	:	516-708-9405
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	01/07/2021

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Directions to “ MR. TODD A HOFFMAN M.S. P.T.” Practice Location

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