Basic Information
| Provider Information | |||||||||
| NPI: | 1093741423 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CARING HEARTS PHYSICAL THERAPY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13329 41ST RD | ||||||||
| Address2: | SUITE 1A | ||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113553670 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189394166 | ||||||||
| FaxNumber: | 7189394167 | ||||||||
| Practice Location | |||||||||
| Address1: | 13329 41ST RD | ||||||||
| Address2: | SUITE 1A | ||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113553670 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189394166 | ||||||||
| FaxNumber: | 7189394167 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | CHENG | ||||||||
| AuthorizedOfficialFirstName: | YU CHUNG TONY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7189394166 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | OT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 022702 | NY | X | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225X00000X | 011476 | X | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.