Look up the most recent NPI and PECOS records

In Mobility Pt Pllc

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

68 Jeanette Ave, Staten Island, NY 10312

PECOS Enrollment

Based on the most recent information from CMS, provider In Mobility Pt Pllc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1457040107
Provider Type
Organization
Full Name
In Mobility Pt Pllc

Subpart
No
Enumeration Date
5/8/2023
Last Updated
5/8/2023

Contact Information

Practice Location

68 Jeanette Ave, Staten Island, NY 10312

(917) 648-5777

Unlisted Fax

Mailing Location

68 Jeanette Ave, Staten Island, NY 10312

(917) 648-5777

Unlisted Fax

Authorized Official

Sklovskiy, George (Physical Therapist)

(917) 648-5777

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer

In Mobility Pt Pllc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Ybanez, Maria Luisa

Andes, Rowena C

Samaan, Mark

Bhavsar, Zankhana

Ranganathan, Swethambari

Gardella, Michelle A

Ng, Travis

Agnieszka Antecka Pt Pc

North Shore Pt Of Ny Pc

Stadnik, Anastasia