MEDICARE: THERAPEUTIC SOLUTIONS PHYSICAL THERAPY, PLLC

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
1	225100000X	Physical Therapist	013967	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144350109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTIC SOLUTIONS PHYSICAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	1757 MERRICK AVE
Second Line	:	SUITE 100
City	:	NORTH MERRICK
State	:	NY
Zip	:	11566-2717
Country	:	US
Telephone Number	:	516-623-4388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1757 MERRICK AVE
Second Line	:	SUITE 100
City	:	NORTH MERRICK
State	:	NY
Zip	:	11566-2717
Country	:	US
Telephone Number	:	516-623-4388
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMIE L ROCKWIN
Credential	:
Telephone Number	:	516-623-4388

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	02/27/2013

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