# AGEWELL PHYSICAL THERAPY CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659287415
- **Authorized official:** NATHANIEL KATZ KATZ (PARTNER)
- **Authorized official phone:** (347) 321-3065

## Contact information

- **Practice address:** 2010 S RIDGEWOOD AVE, EDGEWATER, FL 32141-4253
- **Practice address phone:** (347) 321-3065
- **Mailing address:** 1127 HARRIS STREET, FAR ROCKAWAY, NY 11691
- **Mailing address phone:** (347) 321-3065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2026
- **Last updated:** 08/25/2026