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General NPI Number Information
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NPI Number | 1093150955
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Entity Type | Organization
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Legal Business Name | OM PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 8902 SPRINGFIELD BLVD
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-2514
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Country | US
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Telephone | 929-379-3291
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Fax | 929-379-3292
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Provider Business Mailing Address
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Address Line | PO BOX 40217
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City | GLEN OAKS
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State | NY
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Zip | 11004-0217
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Country | US
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Telephone | 929-379-3291
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Fax | 929-379-3292
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | HITENKUMAR PATEL
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Credential | RPT
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Telephone | 718-484-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 032378
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License Number State | NY
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