Provider Demographics
NPI:1861180606
Name:NEXUS PHYSICAL THERAPY P.C.
Entity type:Organization
Organization Name:NEXUS PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:SANTIAGO
Authorized Official - Last Name:OPENA-MANGUBAT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-444-2350
Mailing Address - Street 1:6 LITCHULT CT
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7511
Mailing Address - Country:US
Mailing Address - Phone:212-444-2350
Mailing Address - Fax:
Practice Address - Street 1:9618 63RD DR FL 3
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2297
Practice Address - Country:US
Practice Address - Phone:718-275-0050
Practice Address - Fax:718-280-9386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty