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General NPI Number Information
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NPI Number | 1710871686
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Entity Type | Organization
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Legal Business Name | REACH PHYSICAL THERAPY - MASPETH PLLC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 6649 GRAND AVE
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City | MASPETH
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State | NY
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Zip | 11378-2540
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Country | US
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Telephone | 718-424-1006
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Fax | 718-255-3617
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Provider Business Mailing Address
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Address Line | 6649 GRAND AVE
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City | MASPETH
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State | NY
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Zip | 11378-2540
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Country | US
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Telephone | 718-255-3616
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Fax | 718-255-3617
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Authorized Official
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Title or Position | CEO/PT
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Name | VINEETH PILLAI
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Credential | DPT
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Telephone | 646-371-0045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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