Provider Demographics
NPI:1497648554
Name:THOMAS VAZHAKALAYIL PT PLLC
Entity type:Organization
Organization Name:THOMAS VAZHAKALAYIL PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZHAKALAYIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-633-2923
Mailing Address - Street 1:50 SHELTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4829
Mailing Address - Country:US
Mailing Address - Phone:617-633-2923
Mailing Address - Fax:
Practice Address - Street 1:50 SHELTER HILL RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4829
Practice Address - Country:US
Practice Address - Phone:617-633-2923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty