Healthcare Provider Details

I. General information

NPI: 1053058081
Provider Name (Legal Business Name): POSITIVE PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 KINGS HWY STE 201
WARWICK NY
10990-3679
US

IV. Provider business mailing address

3 FAIRVIEW DR
WARWICK NY
10990-1215
US

V. Phone/Fax

Practice location:
  • Phone: 201-317-7243
  • Fax: 888-910-5086
Mailing address:
  • Phone: 201-317-7243
  • Fax: 888-910-5086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMY ALESSI
Title or Position: OWNER
Credential: DPT
Phone: 201-317-7243