MEDICARE: WHITNEY POINT PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1093824021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITNEY POINT PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	2663 MAIN STREET
Second Line	:
City	:	WHITNEY POINT
State	:	NY
Zip	:	13862
Country	:	US
Telephone Number	:	607-692-4420
Fax Number	:	607-692-4415

Provider Business Practice Location Address
First Line	:	2663 MAIN STREET
Second Line	:
City	:	WHITNEY POINT
State	:	NY
Zip	:	13862-0253
Country	:	US
Telephone Number	:	607-692-4420
Fax Number	:	607-692-4415

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. MARY PARKER
Credential	:
Telephone Number	:	607-656-8718

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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Directions to “WHITNEY POINT PHYSICAL THERAPY ” Practice Location

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