Healthcare Provider Details

I. General information

NPI: 1487747721
Provider Name (Legal Business Name): MELISSA S KERAS-DONAGHY PT, DPT, CLT-LANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 MAMARONECK AVE STE 414
HARRISON NY
10528-2430
US

IV. Provider business mailing address

450 MAMARONECK AVE STE 414
HARRISON NY
10528-2430
US

V. Phone/Fax

Practice location:
  • Phone: 914-610-4440
  • Fax: 914-407-0116
Mailing address:
  • Phone: 914-610-4440
  • Fax: 914-407-0116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number011394-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: