Healthcare Provider Details

I. General information

NPI: 1265640015
Provider Name (Legal Business Name): VORTEX PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 HARLEMVILLE RD
GHENT NY
12075-1901
US

IV. Provider business mailing address

56 FERN HILL RD
GHENT NY
12075-3902
US

V. Phone/Fax

Practice location:
  • Phone: 518-281-2890
  • Fax:
Mailing address:
  • Phone: 518-281-2890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. YOTAM LEV
Title or Position: PHYSICAL THERAPIST-OWNER
Credential: PT, DPT
Phone: 518-281-2890