Healthcare Provider Details

I. General information

NPI: 1508633520
Provider Name (Legal Business Name): MANHATTAN PHYSICAL THERAPY AND ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 12/11/2023
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 W 45TH ST STE 1600
NEW YORK NY
10036-4229
US

IV. Provider business mailing address

2 W 45TH ST STE 1600
NEW YORK NY
10036-4229
US

V. Phone/Fax

Practice location:
  • Phone: 917-388-2031
  • Fax:
Mailing address:
  • Phone: 917-388-2031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YOHEI TAKADA
Title or Position: PRESIDENT
Credential: PT
Phone: 917-672-3770