Provider Demographics
NPI:1356048599
Name:IGPT, LLC
Entity type:Organization
Organization Name:IGPT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALETA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:646-299-1621
Mailing Address - Street 1:54 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6412
Mailing Address - Country:US
Mailing Address - Phone:646-299-1621
Mailing Address - Fax:201-496-6030
Practice Address - Street 1:54 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-6412
Practice Address - Country:US
Practice Address - Phone:646-299-1621
Practice Address - Fax:201-496-6030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy