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Organization
AGEWELL PHYSICAL THERAPY CORP
Active
Organization
AGEWELL PHYSICAL THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL KATZ KATZ (PARTNER)
(347) 321-3065
Entity
Organization
Contact information
Practice address
2010 S RIDGEWOOD AVE, EDGEWATER, FL 32141-4253
(347) 321-3065
Mailing address
1127 HARRIS STREET, FAR ROCKAWAY, NY 11691
(347) 321-3065
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
08/21/2026
Last updated
08/25/2026
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