MEDICARE: ALLTO OCCUPATIONAL AND PHYSICAL THERAPY SERVICES 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	225X00000X	Occupational Therapist	015537	NY
2	225100000X	Physical Therapist	030384	NY

General Provider Information

NPI Number	:	1265758163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLTO OCCUPATIONAL AND PHYSICAL THERAPY SERVICES PLLC

Provider Business Mailing Address
First Line	:	3021 QUENTIN RD
Second Line	:	1ST FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4232
Country	:	US
Telephone Number	:	718-218-3732
Fax Number	:

Provider Business Practice Location Address
First Line	:	3021 QUENTIN RD
Second Line	:	1ST FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4232
Country	:	US
Telephone Number	:	718-218-3732
Fax Number	:	302-288-1111

Authorized Official
Title or Position	:	PARTNER/DIRECTOR
Name	:	MR. ANATOLY SHAPIRO
Credential	:	OTR/L
Telephone Number	:	718-218-3732

Provider Enumeration Date	:	04/16/2010
Last Update Date	:	03/20/2013

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