MEDICARE: THOMAS F PHILIPPE OCCUPATIONAL THERAPY SERVICES, PC

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

General Provider Information

NPI Number	:	1578343786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS F PHILIPPE OCCUPATIONAL THERAPY SERVICES, PC

Provider Business Mailing Address
First Line	:	14328 182ND PL
Second Line	:
City	:	SPRINGFIELD GARDENS
State	:	NY
Zip	:	11413-3221
Country	:	US
Telephone Number	:	347-495-3248
Fax Number	:

Provider Business Practice Location Address
First Line	:	14328 182ND PL
Second Line	:
City	:	SPRINGFIELD GARDENS
State	:	NY
Zip	:	11413-3221
Country	:	US
Telephone Number	:	347-495-3248
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS FREDEL PHILIPPE
Credential	:	OTRL
Telephone Number	:	347-495-3248

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	10/04/2023

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