Westbury Physical Therapy and Chiropractic PLLC

Organization Active NPI Physical Therapist · Westbury, NY

NPI 1154825784 · NPPES record last updated May 10, 2018

Key facts

NPI
1154825784
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
WESTBURY PHYSICAL THERAPY AND CHIROPRACTIC PLLC
Practice address
1065 Old Country Rd Ste 214
Westbury, NY 11590-5628
Phone
(631) 334-7000
NPI assigned
Mar 20, 2018
Organization subpart
No

Authorized official

Name
Stephen S Athan
Title
Owner
Phone
(516) 334-7000

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180606001335 NY Part B Supplier - Clinic/Group Practice 0648535021 Receives reassigned benefits from 4 practitioners
Practice locations: Westbury, NY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193200000X MULTI-SPECIALTY GROUP
111N00000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

1065 Old Country Rd Ste 214
Westbury, NY 11590-5628

Mailing address

1065 Old Country Rd Ste 214
Westbury, NY 11590-5628
Phone (631) 334-7000

Other providers in Westbury, NY

All providers in Westbury, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.