Provider Demographics
NPI:1710871686
Name:REACH PHYSICAL THERAPY - MASPETH PLLC
Entity type:Organization
Organization Name:REACH PHYSICAL THERAPY - MASPETH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PT
Authorized Official - Prefix:
Authorized Official - First Name:VINEETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PILLAI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:646-371-0045
Mailing Address - Street 1:6649 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-2540
Mailing Address - Country:US
Mailing Address - Phone:718-255-3616
Mailing Address - Fax:718-255-3617
Practice Address - Street 1:6649 GRAND AVE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-2540
Practice Address - Country:US
Practice Address - Phone:718-424-1006
Practice Address - Fax:718-255-3617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty