Healthcare Provider Details
I. General information
NPI: 1982233847
Provider Name (Legal Business Name): MOTIVATE PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2020
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 IDLEWILD AVE STE 2
CORNWALL ON HUDSON NY
12520-1155
US
IV. Provider business mailing address
1 IDLEWILD AVE STE 2
CORNWALL ON HUDSON NY
12520-1155
US
V. Phone/Fax
- Phone: 845-501-4171
- Fax: 845-314-8714
- Phone: 845-551-2574
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINE
STATHES
Title or Position: OWNER / PHYSICAL THERAPIST
Credential: PT
Phone: 845-501-4171