Healthcare Provider Details

I. General information

NPI: 1881713956
Provider Name (Legal Business Name): HEALTH ONE PHYSICAL THERAPY,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 EAST 149TH STREET SUITE 318
BRONX NY
10455
US

IV. Provider business mailing address

3717 90TH ST FL 1
JACKSON HEIGHTS NY
11372-7868
US

V. Phone/Fax

Practice location:
  • Phone: 718-401-6888
  • Fax: 718-401-8400
Mailing address:
  • Phone: 718-505-0707
  • Fax: 708-505-9199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number015377-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number015377-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number015377-1
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number015377-1
License Number StateNY

VIII. Authorized Official

Name: PATRICIA M ARZIC
Title or Position: PRESIDENT
Credential: RPT
Phone: 718-505-0707