Provider Demographics
NPI:1881585370
Name:ACCESS PHYSICAL THERAPY REHAB PC
Entity type:Organization
Organization Name:ACCESS PHYSICAL THERAPY REHAB PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:516-688-0188
Mailing Address - Street 1:175 JERICHO TPKE STE 102
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4501
Mailing Address - Country:US
Mailing Address - Phone:516-688-0188
Mailing Address - Fax:516-268-9473
Practice Address - Street 1:175 JERICHO TPKE STE 102
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4501
Practice Address - Country:US
Practice Address - Phone:516-688-0188
Practice Address - Fax:516-268-9473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty