Healthcare Provider Details

I. General information

NPI: 1265099774
Provider Name (Legal Business Name): ADAPT PT & OT SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

779 GOLF DR
VALLEY STREAM NY
11581-3520
US

IV. Provider business mailing address

779 GOLF DR
VALLEY STREAM NY
11581-3520
US

V. Phone/Fax

Practice location:
  • Phone: 917-363-4720
  • Fax:
Mailing address:
  • Phone: 917-363-4720
  • 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: ARYEH DICKER
Title or Position: OWNER
Credential: DPT
Phone: 917-363-4720