Healthcare Provider Details

I. General information

NPI: 1265872139
Provider Name (Legal Business Name): OGREN PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2013
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 BEDFORD RD
ARMONK NY
10504-1937
US

IV. Provider business mailing address

135 BEDFORD RD
ARMONK NY
10504-1937
US

V. Phone/Fax

Practice location:
  • Phone: 845-661-0177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT OGREN
Title or Position: OWNER / PHYSICAL THERASPIST
Credential: PT
Phone: 845-661-0177