Provider Demographics
NPI:1366251522
Name:FLEX FIT PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:FLEX FIT PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:DADULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-708-4198
Mailing Address - Street 1:8716 QUEENS BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4419
Mailing Address - Country:US
Mailing Address - Phone:929-708-4198
Mailing Address - Fax:
Practice Address - Street 1:8716 QUEENS BLVD FL 1
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4419
Practice Address - Country:US
Practice Address - Phone:929-708-4198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy