LAKE SUCCESS PHYSICAL THERAPY P.C. NPI 1336604222

NPI Details

LAKE SUCCESS PHYSICAL THERAPY P.C. is an electrophysiology and clinical physical therapist in New Hyde Park, NY. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures. LAKE SUCCESS PHYSICAL THERAPY P.C. NPI is 1336604222. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1999 MARCUS AVE STE M15
NEW HYDE PARK, NY
ZIP 11042-023
Phone: (516) 488-8808
Fax: (516) 488-8818

The provider's authorized official is Michelle Dragan .
The authorized official title is Business Manager and has the following contact phone number (516) 488-8808.

The CLIA number assigned to this NPI record is 33D0987567 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2019 and was last updated on 2/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: