Function Physical Therapy and Chiropractic PLLC
Organization Active NPI Physical Therapist · Bayport, NY
NPI 1447653266 · NPPES record last updated Oct 21, 2014
Key facts
- NPI
- 1447653266
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 033193 (NY)
- Legal business name
- FUNCTION PHYSICAL THERAPY AND CHIROPRACTIC PLLC
- Practice address
- 734 Montauk Hwy
Bayport, NY 11705-1621 - Phone
- (631) 404-7073
- Fax
- (631) 751-8298
- NPI assigned
- Oct 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Miss Deirdre McCool
- Title
- Biller
- Phone
- (631) 404-7073
National Provider Directory
Locations
734 Montauk Hwy
Bayport, NY 11705
Phone (631) 394-0399
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | X011836 | NY | |
| Physical Therapist |
225100000X | 033193 | NY | Yes |
Addresses
Primary practice location
734 Montauk Hwy
Bayport, NY 11705-1621
Mailing address
734 Montauk Hwy
Bayport, NY 11705-1621
Phone (631) 404-7073
Other providers in Bayport, NY
- Darrel P. Ford
- David Alexander Foster
- Fostering Wellness Marriage and Family Therapy
- Dean Francis Fox
- Peyton Franco
- Function Sports Chiropractic
- Harry Geant
- Jennifer Gillanders
- Anna Gillis
- Karen Barbara Goercke
All providers in Bayport, 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 Oct 21, 2014. 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.