Healthcare Provider Details

I. General information

NPI: 1083004634
Provider Name (Legal Business Name): TOBIAS THERAPY, PT, OT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 05/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 OCEAN PKWY
BROOKLYN NY
11230-5655
US

IV. Provider business mailing address

1357 OCEAN PKWY
BROOKLYN NY
11230-5655
US

V. Phone/Fax

Practice location:
  • Phone: 917-933-1933
  • Fax: 718-764-6273
Mailing address:
  • Phone: 917-933-1933
  • Fax: 718-764-6273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number032922
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number013380
License Number StateNY

VIII. Authorized Official

Name: DR. JOSEPH DAVID TOBIAS
Title or Position: DIRECTOR
Credential: P.T., D.P.T.
Phone: 917-626-3172