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EXECUTIVE PARK ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC NPI 1649392283


NPI Information

NPI: 1649392283
Provider Name: EXECUTIVE PARK ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
1034 N BROADWAY
2ND FLOOR
YONKERS, NY
ZIP 10701
Phone: (914) 509-4640
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EXECUTIVE PARK ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC is an orthopedic physical therapist in Yonkers, NY. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. EXECUTIVE PARK ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC NPI is 1649392283. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1034 N BROADWAY
2ND FLOOR
YONKERS, NY
ZIP 10701-303
Phone: (914) 509-4640
Fax: (914) 509-4639

The provider's authorized official is Ivan Hernandez .
The authorized official title is President and has the following contact phone number (914) 509-4640.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 4/23/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedic023806NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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