MEDICARE: DOCHAS THERAPY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	235Z00000X	Speech-Language Pathologist
3	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1902432610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCHAS THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	218 E PARK AVE # 204
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-3521
Country	:	US
Telephone Number	:	516-261-2241
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 W WALNUT ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-3133
Country	:	US
Telephone Number	:	516-261-2241
Fax Number	:

Authorized Official
Title or Position	:	OWNER, OCCUPATIONAL THERAPIST
Name	:	KATHARINE MOSER
Credential	:	OTR/L
Telephone Number	:	516-261-2241

Provider Enumeration Date	:	03/14/2020
Last Update Date	:	04/23/2020

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Directions to “DOCHAS THERAPY SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

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