Michele Jo Petherick
Physical Therapist - Sports Physical Therapist - Geriatrics Physical Therapist - Orthopedic Physical Therapist - Pediatrics
1300 Franklin Ave Ll2
Garden City
, New York 11530-5747
Michele Jo Petherick
Physical Therapist - Sports Physical Therapist - Geriatrics Physical Therapist - Orthopedic Physical Therapist - Pediatrics
1300 Franklin Ave Ll2
Garden City
, New York 11530-5747
(516) 663-9092
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About
Features
Specialties
- Physical Therapist - Geriatrics
- Physical Therapist - Pediatrics
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Michele Jo Petherick
- 1300 Franklin Ave Ll2
- Garden City, NY
- Zip : 11530-5747
- Fax : (516) 663-9092
- Phone : (516) 663-9099
Second Address
- Michele Jo Petherick
- 1300 Franklin Ave Ll2
- Garden City, NY
- Zip : 11530-5747
- Fax : (516) 663-9092
- Phone : (516) 663-9099
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Is Michele Jo Petherick a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251G0304X | Physical Therapist - Geriatrics | 010022-1 | NY |
| N | 2251P0200X | Physical Therapist - Pediatrics | 010022-1 | NY |
| Y | 2251S0007X | Physical Therapist - Sports | 010022-1 | NY |
| N | 2251X0800X | Physical Therapist - Orthopedic | 010022-1 | NY |
National Provider Identifier
| NPI | 1457505513 |
|---|---|
| Provider Name | Michele Jo Petherick |
| First Address | Garden City, NY 11530-5747 |
| Second Address | Garden City, NY 11530-5747 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2008 |
| Last Update Date | 05/08/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.