Proform Physical Therapy is a
Clinic/center - Physical Therapy based in Smithtown, New York. Proform Physical Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
317 Middle Country Road, Suite # 3, Smithtown, New York. It can be reached at their office (for appointments etc.) via phone at
(631) 361-9246.
NPI number for Proform Physical Therapy is 1881614295 and their current mailing address is 569 E Main Street, Bayshore, New York. Proform Physical Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1881614295.
Healthcare Provider's Profile
| Full Name | Proform Physical Therapy |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 317 Middle Country Road, Smithtown, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881614295
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 07/30/2008
Medical Identifiers
Medical identifiers for Proform Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881614295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Proform Physical Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Proform Physical Therapy
569 E Main Street,
Bayshore, NY 11706-8505
Ph: (631) 665-8645 | Proform Physical Therapy
317 Middle Country Road, Suite # 3,
Smithtown, NY 11787
Ph: (631) 361-9246 |
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