MEDICARE: ZYTC PHYSICAL THERAPY GROUP 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	020223	NY

General Provider Information

NPI Number	:	1497901664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZYTC PHYSICAL THERAPY GROUP PLLC

Provider Business Mailing Address
First Line	:	274 W. 145TH STREET
Second Line	:	SUITE #310
City	:	NEW YORK
State	:	NY
Zip	:	10039
Country	:	US
Telephone Number	:	212-368-7800
Fax Number	:	212-368-7803

Provider Business Practice Location Address
First Line	:	274 W 145TH ST
Second Line	:	SUITE #310
City	:	NEW YORK
State	:	NY
Zip	:	10039-4122
Country	:	US
Telephone Number	:	212-368-7800
Fax Number	:	212-368-7803

Authorized Official
Title or Position	:	PARTNER
Name	:	MR. TED C CHIU
Credential	:
Telephone Number	:	917-589-4467

Provider Enumeration Date	:	08/07/2008
Last Update Date	:	01/07/2014

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