Provider Demographics
NPI:1144932930
Name:HANDS ON PHYSICAL THERAPY OF HICKSVILLE
Entity type:Organization
Organization Name:HANDS ON PHYSICAL THERAPY OF HICKSVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANOOP
Authorized Official - Middle Name:
Authorized Official - Last Name:CHACKO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-707-6970
Mailing Address - Street 1:3244 31ST ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2561
Mailing Address - Country:US
Mailing Address - Phone:718-707-6970
Mailing Address - Fax:929-208-0767
Practice Address - Street 1:337 JERUSALEM AVENUE
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5522
Practice Address - Country:US
Practice Address - Phone:718-707-6970
Practice Address - Fax:929-220-8076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, ClinicalGroup - Multi-Specialty