Healthcare Provider Details

I. General information

NPI: 1356018733
Provider Name (Legal Business Name): HEALTHY SELF PT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 SEARINGTOWN RD
ALBERTSON NY
11507-1125
US

IV. Provider business mailing address

91 SEARINGTOWN RD
ALBERTSON NY
11507-1125
US

V. Phone/Fax

Practice location:
  • Phone: 516-621-7072
  • Fax: 516-621-7066
Mailing address:
  • Phone: 516-621-7072
  • Fax: 516-621-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ANJALI APTE
Title or Position: PRESIDENT
Credential: DPT
Phone: 516-507-4708