DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SUPREME CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC

MEDICARE: SUPREME CARE PHYSICAL THERAPY AND OCCUPATIONAL 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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1841522190
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPREME CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC
Provider Business Mailing Address
First Line : 3319 AVENUE N
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2605
Country : US
Telephone Number : 718-258-3300
Fax Number : 718-258-3301
Provider Business Practice Location Address
First Line : 3319 AVENUE N
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2605
Country : US
Telephone Number : 718-258-3300
Fax Number : 718-258-3301
Authorized Official
Title or Position : OWNER
Name : LOUIS WINSTON EZRICK
Credential : PT
Telephone Number : 718-258-3300
Provider Enumeration Date : 02/10/2010
Last Update Date : 12/10/2025

Similar Medicare Providers

1609739069 — NICOLE KUMAR PT, DPT
Practice Location Address:
3319 AVENUE N STE 1
BROOKLYN, NY
11234-2605
Practice Phone: 718-258-3000
Practice Fax:
1528941820 — FRANK A ROSENTSVEYG DPT
Practice Location Address:
3319 AVENUE N
BROOKLYN, NY
11234-2605
Practice Phone: 718-258-3300
Practice Fax:
1689470569 — DR. YANA PIH DPT
Practice Location Address:
3319 AVENUE N
BROOKLYN, NY
11234-2605
Practice Phone: 718-258-3300
Practice Fax:
1063236917 — SHONELL ANN BENJAMIN PT, DPT
Practice Location Address:
3319 AVENUE N STE 1
BROOKLYN, NY
11234-2605
Practice Phone: 718-258-3300
Practice Fax:
1952037947 — TIAN EN SONG DPT
Practice Location Address:
3319 AVENUE N STE 1
BROOKLYN, NY
11234-2605
Practice Phone: 718-258-3300
Practice Fax:
1013790831 — HANSEN LI PT,DPT
Practice Location Address:
3319 AVENUE N
BROOKLYN, NY
11234-2605
Practice Phone: 718-258-3300
Practice Fax:

Directions to “SUPREME CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.