SALEM SPORTS & SPINE PHYSICAL THEARPY, PC (NPI# 1053537407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053537407 |
| Entity Type | Organization |
| Organization Name | SALEM SPORTS & SPINE PHYSICAL THEARPY, PC |
| Practice Address |
56 June Road North Salem NY 10560-0662 |
| Mailing Address |
Po Box 662 North Salem NY 10560-0662 |
| Practice Telephone | 9146699085 |
| Practice Fax Number | 9146699095 |
| Mailing Telephone | 9146699085 |
| Mailing Fax Number | 9146699095 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MICHELE LYNN LEASURE (OWNER) |
| Authorized Official Telephone | 9146699085 |
| Authorized Official Credential | P.T., OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
018914-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
56 JUNE ROAD |
| City | NORTH SALEM |
| State | NY |
| Zip Code | 10560-0662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467591388 | Michele Lynn Leasure | Physical Therapist | 56 June Road, North Salem, NY 10560 | 2007-02-06 |
| 1609261874 | Kristen Murtagh | Early Intervention Provider Agency | 56 June Road, North Salem, NY 10560 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550882 | Breda Maria Leahy | Optometrist | Breda Leahy, 44 Lakeside Dr, North Salem, NY 10560 | 2020-08-25 |
| 1356962104 | Julianna Bastone | Speech-Language Pathologist | 520 Ny-22, North Salem, NY 10560 | 2020-05-04 |
| 1679966899 | Allison Collins | Specialist | 28 Valeria Circle, North Salem, NY 10560 | 2015-03-12 |
| 1972889103 | Alice Margaret Stokes | Social Worker | 520 Route 22, North Salem, NY 10560 | 2011-11-02 |
| 1386971786 | Jami Ellen Adams | Licensed Practical Nurse | 41 Fields Ln, North Salem, NY 10560 | 2009-11-06 |
| 1497984439 | Allison B. Alonzi | Dietitian, Registered | 59 Sunset Drive, North Salem, NY 10560 | 2009-07-13 |
| 1003962473 | North Salem Csd | Local Education Agency (LEA) | 230 June Rd, North Salem, NY 10560 | 2007-01-26 |
| 1568739373 | Matthew Alan Notz | Social Worker | 520 Route 22, North Salem, NY 10560 | 2011-11-22 |
| 1962642272 | Margrit E. Humburg | Home Health | 76 Cove Rd, Po 160, North Salem, NY 10560-0160 | 2009-02-26 |
| 1891961413 | Jeffrey Raymond Norwood | Internal Medicine | 11 Hardscrabble Rd, North Salem, NY 10560-1007 | 2008-05-03 |
| Find all providers in zip 10560 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467591388 | Michele Lynn Leasure | Physical Therapist | 56 June Road, North Salem, NY 10560 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTH SALEM |
| Zip Code | 10560 |
Please comment or provide details below to improve the information on SALEM SPORTS & SPINE PHYSICAL THEARPY, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.