Healthcare Provider Details

I. General information

NPI: 1922517424
Provider Name (Legal Business Name): METRO PHYSICAL & OCCUPATIONAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2017
Last Update Date: 10/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9130 HYPOLUXO ROAD
LAKE WORTH FL
33467
US

IV. Provider business mailing address

800 E GATE BLVD
GARDEN CITY NY
11530-2105
US

V. Phone/Fax

Practice location:
  • Phone: 516-745-8070
  • Fax: 516-745-8055
Mailing address:
  • Phone: 516-745-8070
  • Fax: 516-745-8055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MAYRSOHN
Title or Position: OWNER
Credential: DPT
Phone: 516-745-8070