MEDICARE: BODYALIGN PHYSICAL THERAPY

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	024115	NY

General Provider Information

NPI Number	:	1609016625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BODYALIGN PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	331 W 57TH ST
Second Line	:	#401
City	:	NEW YORK
State	:	NY
Zip	:	10019-3101
Country	:	US
Telephone Number	:	212-956-0762
Fax Number	:

Provider Business Practice Location Address
First Line	:	331 W 57TH ST
Second Line	:	#401
City	:	NEW YORK
State	:	NY
Zip	:	10019-3101
Country	:	US
Telephone Number	:	212-956-0762
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	JILL HOEFS
Credential	:	MPT
Telephone Number	:	212-956-0762

Provider Enumeration Date	:	03/03/2009
Last Update Date	:	03/03/2009

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Directions to “BODYALIGN PHYSICAL THERAPY ” Practice Location

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