1316079890 NPI number — WESTCHESTER PHYSICAL THERAPY ASSOCIATES PC

Table of content: (NPI 1316079890)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316079890 NPI number — WESTCHESTER PHYSICAL THERAPY ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESTCHESTER PHYSICAL THERAPY ASSOCIATES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316079890
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
185 MAPLE AVE
Provider Second Line Business Mailing Address:
SUITE 124
Provider Business Mailing Address City Name:
WHITE PLAINS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10601-4776
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-997-6970
Provider Business Mailing Address Fax Number:
914-946-4619

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
185 MAPLE AVE
Provider Second Line Business Practice Location Address:
SUITE 124
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10601-4776
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-997-6970
Provider Business Practice Location Address Fax Number:
914-946-4619
Provider Enumeration Date:
03/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PENNACCHIO-FERRI
Authorized Official First Name:
DEBRA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
914-997-6970

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  005547-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0075138 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0119101 . This is a "ORTHONET-HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 806391 . This is a "ACN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: A395362 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1403948 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 005547 . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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