Provider Demographics
NPI:1962273573
Name:SWB PT,DC,OT PLLC
Entity type:Organization
Organization Name:SWB PT,DC,OT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:CAITHA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:917-435-9452
Mailing Address - Street 1:286 MADISON AVE STE 1601
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6374
Mailing Address - Country:US
Mailing Address - Phone:917-435-9452
Mailing Address - Fax:
Practice Address - Street 1:286 MADISON AVE STE 1601
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6374
Practice Address - Country:US
Practice Address - Phone:917-435-9452
Practice Address - Fax:646-304-3203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty