Healthcare Provider Details

I. General information

NPI: 1053646620
Provider Name (Legal Business Name): TRANS PHYSICAL THERAPY & REHABILITATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2009
Last Update Date: 10/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 EASTCHESTER RD SUITE A
BRONX NY
10461-2209
US

IV. Provider business mailing address

1513 SEMINOLE ST SUITE 1
BRONX NY
10461-2209
US

V. Phone/Fax

Practice location:
  • Phone: 917-288-5131
  • Fax:
Mailing address:
  • Phone: 917-288-5131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number026667
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNY

VIII. Authorized Official

Name: MR. VIREN PATEL
Title or Position: PRESIDENT
Credential: P.T.
Phone: 917-288-5131