Healthcare Provider Details

I. General information

NPI: 1912897463
Provider Name (Legal Business Name): JOHN JUDE SHLIMOUN PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 SICKLES AVE
NEW ROCHELLE NY
10801-3710
US

IV. Provider business mailing address

240 SICKLES AVE
NEW ROCHELLE NY
10801-3710
US

V. Phone/Fax

Practice location:
  • Phone: 914-879-9604
  • Fax:
Mailing address:
  • Phone: 914-879-9604
  • 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: JOHN JUDE SCHLIMOUN
Title or Position: PT
Credential: DPT
Phone: 914-879-9604