Healthcare Provider Details

I. General information

NPI: 1306655444
Provider Name (Legal Business Name): ASSIST HOME THERAPY PT OT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2769 CONEY ISLAND AVE STE 2
BROOKLYN NY
11235-5051
US

IV. Provider business mailing address

2769 CONEY ISLAND AVE STE 2
BROOKLYN NY
11235-5051
US

V. Phone/Fax

Practice location:
  • Phone: 718-775-8966
  • Fax: 718-866-1034
Mailing address:
  • Phone: 718-775-8966
  • Fax:

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: SARA FURSHMAN
Title or Position: ADMIN DIRECTOR
Credential:
Phone: 718-775-8966