Healthcare Provider Details

I. General information

NPI: 1841884111
Provider Name (Legal Business Name): ERIN MARGARET FLYNN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2021
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 N CENTRAL AVE STE 115
HARTSDALE NY
10530-1840
US

IV. Provider business mailing address

280 N CENTRAL AVE STE 115
HARTSDALE NY
10530-1840
US

V. Phone/Fax

Practice location:
  • Phone: 914-831-9575
  • Fax: 855-936-3254
Mailing address:
  • Phone: 914-831-9575
  • Fax: 855-936-3254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01170500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number019806-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: