Provider Demographics
NPI:1609346477
Name:MPOWER PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:MPOWER PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CANICO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-310-1917
Mailing Address - Street 1:38 W 32ND ST STE 1300
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3877
Mailing Address - Country:US
Mailing Address - Phone:917-310-1917
Mailing Address - Fax:
Practice Address - Street 1:38 W 32ND ST STE 1300
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3877
Practice Address - Country:US
Practice Address - Phone:917-310-1917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty