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NPI Code Detail

MEDICARE: HOME THERAPY PT PHYSICAL AND OCCUPATIONAL THERAPY LLC

MEDICARE: HOME THERAPY PT PHYSICAL AND OCCUPATIONAL THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist018328NY
22251G0304XGeriatric Physical Therapist019510NY

General Provider Information

NPI Number : 1033474937
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME THERAPY PT PHYSICAL AND OCCUPATIONAL THERAPY LLC
Provider Business Mailing Address
First Line : 710 MILL ST
Second Line : H3
City : BELLEVILLE
State : NJ
Zip : 07109-5318
Country : US
Telephone Number : 914-509-5727
Fax Number : 914-623-0481
Provider Business Practice Location Address
First Line : 799 MORRIS PARK AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-3604
Country : US
Telephone Number : 914-509-5727
Fax Number : 914-623-0481
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : DR. RICHARD S HOLSMAN
Credential : PT, DPT, GCS
Telephone Number : 973-393-5545
Provider Enumeration Date : 07/08/2012
Last Update Date : 08/24/2021

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Directions to “HOME THERAPY PT PHYSICAL AND OCCUPATIONAL THERAPY LLC ” Practice Location

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