Healthcare Provider Details

I. General information

NPI: 1316185655
Provider Name (Legal Business Name): UP TO PAR PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 01/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 PLYMOUTH RD
PLAINVIEW NY
11803-2721
US

IV. Provider business mailing address

80 PLYMOUTH RD
PLAINVIEW NY
11803-2721
US

V. Phone/Fax

Practice location:
  • Phone: 516-816-5150
  • Fax:
Mailing address:
  • Phone: 516-816-5150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number015435-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number015435-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number015435-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number015435-1
License Number StateNY

VIII. Authorized Official

Name: MR. MICHAEL AARON FEINBERG
Title or Position: PRESIDENT
Credential: MA PT
Phone: 516-816-5150