MEDICARE: PREMIER PHYSICAL THERAPY OF ROCKLAND LLC

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	0219531	NY

General Provider Information

NPI Number	:	1437364916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER PHYSICAL THERAPY OF ROCKLAND LLC

Provider Business Mailing Address
First Line	:	228 E ROUTE 59 STE 303
Second Line	:
City	:	NANUET
State	:	NY
Zip	:	10954-2905
Country	:	US
Telephone Number	:	718-362-1411
Fax Number	:	718-362-1651

Provider Business Practice Location Address
First Line	:	156 ROUTE 59 STE C4
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-5010
Country	:	US
Telephone Number	:	718-362-1411
Fax Number	:	718-362-1651

Authorized Official
Title or Position	:	OWNER
Name	:	MS. KATRENE M DELANEY
Credential	:	PT
Telephone Number	:	845-368-4111

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	02/20/2026

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