PHOENIX PHYSICAL THERAPY PLLC (NPI# 1144820762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144820762 |
| Entity Type | Organization |
| Organization Name | PHOENIX PHYSICAL THERAPY PLLC |
| Practice Address |
337 Blaisdell Rd Orangeburg NY 10962-2508 |
| Mailing Address |
4 Charles Pl Old Tappan NJ 07675-7247 |
| Practice Telephone | 9143404623 |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |
| Authorized Official Name | DR. ARANTZAZU GARATE CIOCE (CEO) |
| Authorized Official Telephone | 8133621306 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Phoenix Physical Therapy LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376177519 | Phoenix Physical Therapy Pllc | Clinic/Center | 10121 W Clearwater Ave Ste 113, Kennewick, WA 99336-3500 | 2020-02-26 |
| 1518909100 | Phoenix Physical Therapy Pllc | Durable Medical Equipment & Medical Supplies | 1775 Williston Rd, Suite 104, South Burlington, VT 05403-6491 | 2006-06-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PHOENIX PHYSICAL THERAPY PLLC | 10121 W Clearwater Ave Ste 113, Kennewick, WA 99336-3500 |
| Street Address |
337 BLAISDELL RD |
| City | ORANGEBURG |
| State | NY |
| Zip Code | 10962-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730298 | Bv Lake Tappan Operator LLC | Alzheimer Center (Dementia Center) | 31 Hunt Road, Orangeburg, NY 10962 | 2018-05-16 |
| 1659681369 | Vanessa Jean Mckay | Acupuncturist | 516 Route 303 Suite #3, Orangeburg, NY 10962 | 2010-10-15 |
| 1144535766 | Theodora Andreopoulos | Pharmacist | 1 Orangeburg Road, Orangeburg, NY 10962 | 2010-08-09 |
| 1083925598 | Scott David Cicero | Psychologist | 2 First Ave., Orangeburg, NY 10962 | 2010-06-30 |
| 1003135849 | Kerry Deanna Davis | Social Worker | 140 Old Orangeburg Rd, Building #1, Orangeburg Bilingual Clinic-english/asl, Rockland Psych, Orangeburg, NY 10962 | 2010-05-19 |
| 1730407271 | Anthony Zuccaro | Social Worker | 140 Old Orangeburg Road, Rockland Psychiatric Center, Orangeburg, NY 10962 | 2010-05-07 |
| 1750511960 | Eileen Elizabeth Buckley | Nurse Practitioner | 32 Fairview Lane, Orangeburg, NY 10962 | 2009-07-22 |
| 1528296464 | Lisa Kubie | Nurse Practitioner | 140 Old Orangeburg Rd., Building 57 Fourth Floor, Orangeburg, NY 10962 | 2009-06-30 |
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1386787786 | Ralph A Nixon | Psychiatry & Neurology | Nathan Kline Institute, Orangeburg, NY 10962 | 2007-02-15 |
| Find all providers in zip 10962 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275939894 | Crescent Physical Therapy LLC | Clinic/Center | 1180 Boulevard Street, Suite D, Orangeburg, SC 29116 | 2014-11-10 |
| 1356696579 | Impact Physical Therapy, Pllc | Clinic/Center | 60 Dutch Hill Rd, 2, Orangeburg, NY 10962-1723 | 2012-07-14 |
| 1871675421 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639842 | Lion Physical Therapy Pllc | Clinic/Center | 2420 Jackson Ave Ste 205, Long Island City, NY 11101-4332 | 2020-11-02 |
| 1174122808 | The Body Workshop Physical Therapy Pllc | Clinic/Center | 70 Balsam Way, Clifton Park, NY 12065-6787 | 2020-10-23 |
| 1013516012 | Laura Alexandra Kelly | Clinic/Center | 599 Knollwood Rd, White Plains, NY 10603-1918 | 2020-10-21 |
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1053919589 | Hun K Physical Therapy P.C. | Clinic/Center | 4015 81st St Apt A65, Elmhurst, NY 11373-1343 | 2020-10-16 |
| 1730786369 | Palisades Lymphedema & Oncology Physiotherapy, Rllp | Clinic/Center | 7 New Lake Rd, Valley Cottage, NY 10989-1868 | 2020-10-06 |
| 1831796713 | Quality Movement Restoration, LLC | Clinic/Center | 12027 165th St, Jamaica, NY 11434-2526 | 2020-10-05 |
| 1134726359 | John Lathrop Physical Therapy Pllc | Clinic/Center | 3152 35th St Apt 1r, Astoria, NY 11106-1546 | 2020-10-01 |
| 1720695430 | John Bianchini Pt PC | Clinic/Center | 11 N Nancy Pl, Massapequa, NY 11758-1912 | 2020-09-26 |
| 1184231201 | Russell Cobane | Clinic/Center | 258 Ushers Rd Ste 100, Clifton Park, NY 12065-1428 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 10962 |
Please comment or provide details below to improve the information on PHOENIX PHYSICAL THERAPY PLLC.
| 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.