Healthcare Provider Details

I. General information

NPI: 1285663278
Provider Name (Legal Business Name): CHELSEA PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 06/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 W 23RD ST
NEW YORK NY
10011-2202
US

IV. Provider business mailing address

359 W 23RD ST
NEW YORK NY
10011-2202
US

V. Phone/Fax

Practice location:
  • Phone: 212-488-7300
  • Fax: 212-488-7303
Mailing address:
  • Phone: 212-488-7300
  • Fax: 212-488-7303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number012165
License Number StateNY

VIII. Authorized Official

Name: MARIA GERLICH
Title or Position: DIRECTOR
Credential:
Phone: 212-488-7300