Healthcare Provider Details

I. General information

NPI: 1114154382
Provider Name (Legal Business Name): ACCESS PHYSICAL THERAPY WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 OLD POST RD
BEDFORD NY
10506-1018
US

IV. Provider business mailing address

16 MAYBROOK RD SUITE J
CAMPBELL HALL NY
10916-2743
US

V. Phone/Fax

Practice location:
  • Phone: 914-234-4445
  • Fax: 914-234-4446
Mailing address:
  • Phone: 845-636-4344
  • Fax: 845-636-4355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER ALBANESE
Title or Position: SECRETARY
Credential:
Phone: 845-636-4344