Healthcare Provider Details

I. General information

NPI: 1073459293
Provider Name (Legal Business Name): TEMMEL PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 QUAKER AVE STE 209
CORNWALL NY
12518-2127
US

IV. Provider business mailing address

242 MAIN ST # 370
BEACON NY
12508-2732
US

V. Phone/Fax

Practice location:
  • Phone: 845-270-1468
  • Fax:
Mailing address:
  • Phone: 845-270-1468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TRACY TEMMEL
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 845-270-1468