Healthcare Provider Details

I. General information

NPI: 1386210813
Provider Name (Legal Business Name): OXFORD PHYSICAL THERAPY SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 JASMINE AVE
NEW HYDE PARK NY
11040-4336
US

IV. Provider business mailing address

1501 JASMINE AVE
NEW HYDE PARK NY
11040-4336
US

V. Phone/Fax

Practice location:
  • Phone: 646-764-5184
  • Fax:
Mailing address:
  • Phone: 646-764-5184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SUNIL KESANI
Title or Position: DIRECTOR
Credential: PT
Phone: 646-764-5184