MEDICARE: HANDS-ON ADVANCED 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
1	225100000X	Physical Therapist	027887	NY

General Provider Information

NPI Number	:	1710296694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS-ON ADVANCED PHYSICAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	280 ROUTE 211 E
Second Line	:	SUITE 205
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-3109
Country	:	US
Telephone Number	:	845-775-3636
Fax Number	:	845-775-3635

Provider Business Practice Location Address
First Line	:	280 ROUTE 211 E
Second Line	:	SUITE 205
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-3109
Country	:	US
Telephone Number	:	845-775-3636
Fax Number	:	845-775-3635

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RICHARD VITALES ESCANO
Credential	:	PT
Telephone Number	:	845-775-3636

Provider Enumeration Date	:	09/27/2010
Last Update Date	:	09/27/2010

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