Provider Demographics
NPI:1053347682
Name:HANDS ON PHYSICAL THERAPY, PC
Entity type:Organization
Organization Name:HANDS ON PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KONSTANTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:PT,FABS
Authorized Official - Phone:718-626-2699
Mailing Address - Street 1:3636 33RD ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2329
Mailing Address - Country:US
Mailing Address - Phone:718-707-6970
Mailing Address - Fax:718-707-6977
Practice Address - Street 1:8012 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3802
Practice Address - Country:US
Practice Address - Phone:718-491-5454
Practice Address - Fax:718-491-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ2WRQ2Medicare ID - Type Unspecified