Tal Landa, MPT
Individual provider Active NPI Physical Therapist · New York, NY
NPI 1306030697 · NPPES record last updated Mar 23, 2017
Key facts
- NPI
- 1306030697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 029411-1 (NY)
- Practice address
- 1400 York Ave
Main Floor
New York, NY 10021-3443 - Phone
- (212) 988-9057
- Fax
- (212) 988-9196
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029411-1 | NY | MD | Physical Therapist |
| 029411 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Society for the Relief of Ruptured & Crippled Maintaining | Past | Accepting new patients | |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past |
Accepting new patients |
| New York Society for the Relief of Ruptured & Crippled Maintaining | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029411-1 | NY | Yes |
Addresses
Primary practice location
1400 York Ave
Main Floor
New York, NY 10021-3443
Mailing address
405E 75TH St.
HSS Spine Therapy Center
New York, NY 10021
Phone (646) 714-6850
Other providers in New York, NY
- Alla Landa
- Gennady Landa
- Jonathan Landa
- Levi Yitzchok Landa
- Marina Landa
- Yelena Landa
- Yulia Landa
- Gerard Landais
- Mindy Landau-Fox
- Anabelle Landau
All providers in New York, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.