Healthcare Provider Details

I. General information

NPI: 1780422709
Provider Name (Legal Business Name): ACHIEVE OCCUPATIONAL THERAPY AND PHYSICAL THERAPY OF BROOKLYN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 QUENTIN RD STE 106
BROOKLYN NY
11223-2219
US

IV. Provider business mailing address

937 CAROL AVE
WOODMERE NY
11598-1512
US

V. Phone/Fax

Practice location:
  • Phone: 718-627-8100
  • Fax: 718-336-1962
Mailing address:
  • Phone: 718-627-8100
  • Fax: 718-336-1962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALAN KLEINMAN
Title or Position: OWNER
Credential: MSPT
Phone: 718-627-8100