MEDICARE: 5 POINT 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	261QP2000X	Physical Therapy Clinic/Center	025816-1	NY

General Provider Information

NPI Number	:	1275812406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	5 POINT PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	37 W 20TH ST STE 607
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-3718
Country	:	US
Telephone Number	:	212-226-2066
Fax Number	:	212-500-0039

Provider Business Practice Location Address
First Line	:	37 W 20TH ST
Second Line	:	SUITE 806
City	:	NEW YORK
State	:	NY
Zip	:	10011-3706
Country	:	US
Telephone Number	:	212-226-2066
Fax Number	:	212-500-0039

Authorized Official
Title or Position	:	MEMBER
Name	:	MS. STACEY FUTTERMAN
Credential	:	PT
Telephone Number	:	212-226-2066

Provider Enumeration Date	:	08/05/2011
Last Update Date	:	08/19/2020

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