MS. DOROTHEA BURGET SOUTHWICK (NPI# 1689661092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689661092 |
| Entity Type | Individual |
| Full Name | MS. DOROTHEA BURGET SOUTHWICK |
| Credential | P.T. |
| Practice Address |
34 Beeman Way Champlain NY 12919 |
| Mailing Address |
Po Box 702 Champlain NY 12919 |
| Practice Telephone | 5182981111 |
| Practice Fax Number | 5182981111 |
| Mailing Telephone | 5182981111 |
| Mailing Fax Number | 5182981111 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 0065281 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE SHIELD OF NORTHEASTE | 000405998001 | 01 |
| US DEPT OF LABOR OWCP | 110409700 | 01 | |
| RAILROAD MEDICARE | 650005243 | 01 | |
| NY | EXCELLUS | P01010652 | 01 |
| NY | BLUE SHIELD OF NORTHEASTE | GRP405998002 | 01 |
| NY | EMPIRE BLUE CROSS/EMPIRE | Q66831 | 01 |
| NY | EXCELLUS BLUE CROSS BLUE | 141733498 | 01 |
| NY | EMPIRE STATE PLAN | 819687 | 01 |
| NY | EMPIRE STATE PLAN GROUP | 141733498 | 01 |
| NY | EMPIRE BCBS | Q66832 | 01 |
| Street Address |
34 BEEMAN WAY |
| City | CHAMPLAIN |
| State | NY |
| Zip Code | 12919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144874603 | Tyler James King | Pharmacist | 887 Us-11, Champlain, NY 12919 | 2019-08-01 |
| 1851867782 | Courtney Elizabeth Shutts | Registered Nurse | 103 Rt 276, Champlain, NY 12919 | 2018-10-18 |
| 1659881555 | Kim Letourneau | Registered Nurse | 103 Route 276, Champlain, NY 12919 | 2017-10-05 |
| 1306157045 | John Boulton Southwick | Family Medicine | 76 Oak Street, Champlain, NY 12919 | 2010-06-28 |
| 1316262272 | Nganha Vo | Pharmacist | 868 Rt 11, Champlain, NY 12919 | 2010-04-05 |
| 1386976884 | Peter M Harrison | Pharmacist | 866 State Route 11, Champlain, NY 12919 | 2010-02-08 |
| 1881876670 | Carlinda Marie Hamilton | Pharmacist | 887 Route 11, Champlain, NY 12919 | 2007-12-04 |
| 1063493120 | William L Steinfeld | Dentist | 487 Route 11, Champlain, NY 12919 | 2005-11-07 |
| 1104385368 | Christine O'brian | Pharmacist | 868 State Route 11, Champlain, NY 12919 | 2019-03-18 |
| 1730661000 | Nicole A Baker | Nurse Practitioner | 828 State Route 11, Champlain, NY 12919 | 2018-09-04 |
| Find all providers in zip 12919 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689425 | Maitry Damanwala | Physical Therapist | 774 Manor Rd Ste 210, Staten Island, NY 10314-7000 | 2020-11-08 |
| 1760083687 | Charles J Saxe | Physical Therapist | 338 Route 212 Ste 3, Saugerties, NY 12477-5110 | 2020-11-06 |
| 1396346441 | Joseph M Angello | Physical Therapist | 205 Crystal Creek Dr, Rochester, NY 14612-6002 | 2020-11-05 |
| 1093316242 | Steinway Physical Therapy | Physical Therapist | 2549 Steinway St, Astoria, NY 11103-4991 | 2020-11-04 |
| 1255932760 | Carley Ann-marie Johnston | Physical Therapist | 7309 Seneca Rd N Ste 108, Hornell, NY 14843-9691 | 2020-11-03 |
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1528669173 | Greenland Physical Therapy PC | Physical Therapist | 769 58th St Ste 1, Brooklyn, NY 11220-5180 | 2020-11-02 |
| 1891396321 | Victoria Lucile Schreiner | Physical Therapist | 10614 Versailles Plank Rd, North Collins, NY 14111-9764 | 2020-11-02 |
| 1700486362 | Hamdi Darouich | Physical Therapist | 180 Greenleaf Ave, Staten Island, NY 10310-2640 | 2020-10-31 |
| 1013517788 | Nathaniel Mark Mailloux | Physical Therapist | 65 Belmont Ave, West Babylon, NY 11704-6435 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
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| 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.