=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295024909
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KAPLAN PHYSICAL THERAPY SERVICES, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/04/2011
-----------------------------------------------------
Last Update Date | 07/11/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 76 CENTRAL PKWY
-----------------------------------------------------
City | HUNTINGTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11743-4310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-424-2659
-----------------------------------------------------
Fax | 631-424-2659
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 76 CENTRAL PKWY
-----------------------------------------------------
City | HUNTINGTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11743-4310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-424-2659
-----------------------------------------------------
Fax | 631-424-2659
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. JAMES M KAPLAN
-----------------------------------------------------
Credential | PT
-----------------------------------------------------
Telephone | 631-424-2659
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 016366
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------