Healthcare Provider Details

I. General information

NPI: 1831254523
Provider Name (Legal Business Name): PASPA PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 W 35TH ST 12 FLOOR
NEW YORK NY
10001-2111
US

IV. Provider business mailing address

131 W 35TH ST 12 FLOOR
NEW YORK NY
10001-2111
US

V. Phone/Fax

Practice location:
  • Phone: 212-967-5337
  • Fax: 212-967-5157
Mailing address:
  • Phone: 212-967-5337
  • Fax: 212-967-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PAMELA AUDREY PASPA
Title or Position: OWNER
Credential: P.T.
Phone: 212-967-5337