PHOENIX PHYSICAL THERAPY & PTA PLLC (NPI# 1255644043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255644043 |
| Entity Type | Organization |
| Organization Name | PHOENIX PHYSICAL THERAPY & PTA PLLC |
| Practice Address |
447 Frogtown Rd Suite 301 Hogansburg NY 13655-3136 |
| Practice Telephone | 3158427966 |
| Practice Fax Number | 5183583174 |
| Mailing Telephone | 3158427966 |
| Mailing Fax Number | 5183583174 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |
| Authorized Official Name | LISA S FRANCIS (MANAGING MEMBER) |
| Authorized Official Telephone | 3158427966 |
| Authorized Official Credential | PT |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PHOENIX PHYSICAL THERAPY & PTA PLLC | 447 Frogtown Rd, Ste 301, Akwesasne, Ny 13655 |
| Street Address |
447 FROGTOWN RD SUITE 301 |
| City | HOGANSBURG |
| State | NY |
| Zip Code | 13655-3136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651946 | Elizabeth Marie Eggleston | Social Worker | Saint Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, NY 13655 | 2020-05-28 |
| 1093206732 | Heather Marie Pontius | Dietitian, Registered | 378 State Route 37, Hogansburg, NY 13655 | 2018-05-29 |
| 1548400690 | Melissa Ann Dalton | Technician/Technologist | 155 State Route 37, Hogansburg, NY 13655 | 2009-03-03 |
| 1730329848 | Barbara George | Technician/Technologist | 346 St.regis Road, Akwesasne, NY 13655 | 2009-03-02 |
| 1225183577 | Hillary Jill Pyke | Optometrist | 997 State Rte 37, Hogansburg, NY 13655 | 2007-01-25 |
| 1871663294 | Katherine R Henderson | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2006-11-09 |
| 1538783220 | Trish D Keese | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1265056956 | Connie M Thompson | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1457975138 | Brittany L Benedict | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1063035582 | Saint Regis Mohawk Tribe | Health Educator | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-19 |
| Find all providers in zip 13655 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 |
| 1144820762 | Phoenix Physical Therapy Pllc | Clinic/Center | 337 Blaisdell Rd, Orangeburg, NY 10962-2508 | 2020-11-01 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HOGANSBURG |
| Zip Code | 13655 |
Please comment or provide details below to improve the information on PHOENIX PHYSICAL THERAPY & PTA 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.