Provider Demographics
NPI:1366275380
Name:SUSAN QI PHYSICAL THERAPY REHABILITATION PLLC
Entity type:Organization
Organization Name:SUSAN QI PHYSICAL THERAPY REHABILITATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:QI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:646-853-0613
Mailing Address - Street 1:13320 41ST RD APT 3A
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3372
Mailing Address - Country:US
Mailing Address - Phone:929-989-1888
Mailing Address - Fax:
Practice Address - Street 1:13320 41ST RD APT 3A
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3372
Practice Address - Country:US
Practice Address - Phone:929-989-1888
Practice Address - Fax:516-888-7639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty