MEDICARE: ORTHOFLEX PHYSICAL THERAPY & REHABILITATION, P.C.

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	208100000X	Physical Medicine & Rehabilitation Physician	023738	NY

General Provider Information

NPI Number	:	1255519856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOFLEX PHYSICAL THERAPY & REHABILITATION, P.C.

Provider Business Mailing Address
First Line	:	15803 91ST ST
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-3117
Country	:	US
Telephone Number	:	718-848-9400
Fax Number	:	718-848-7934

Provider Business Practice Location Address
First Line	:	15803 91ST ST
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-3117
Country	:	US
Telephone Number	:	718-848-9400
Fax Number	:	718-848-7934

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT JOHN COSTIERA
Credential	:	MS, PT
Telephone Number	:	718-848-9400

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	03/28/2023

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