Healthcare Provider Details

I. General information

NPI: 1164151684
Provider Name (Legal Business Name): POSITIVE LINKS PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 06/09/2022
Certification Date: 06/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 ORCHID RD
LEVITTOWN NY
11756-2018
US

IV. Provider business mailing address

117 ORCHID RD
LEVITTOWN NY
11756-2018
US

V. Phone/Fax

Practice location:
  • Phone: 516-617-0963
  • Fax:
Mailing address:
  • Phone: 516-617-0963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA ASPURU-ROVNER
Title or Position: CO-OWNER/PHYSICAL THERAPIST
Credential:
Phone: 516-617-0963