Healthcare Provider Details

I. General information

NPI: 1477245082
Provider Name (Legal Business Name): CC THERAPY GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 PALISADE ST STE 200
DOBBS FERRY NY
10522-1627
US

IV. Provider business mailing address

145 PALISADE ST STE 200
DOBBS FERRY NY
10522-1627
US

V. Phone/Fax

Practice location:
  • Phone: 617-302-6244
  • Fax: 617-915-3196
Mailing address:
  • Phone: 617-302-6244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL DOMINIC SCAHILL
Title or Position: PRESIDENT
Credential: MD
Phone: 510-871-5025