Healthcare Provider Details

I. General information

NPI: 1205856036
Provider Name (Legal Business Name): STEPHANIE ANNE MANNARINO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SLEEPY HOLLOW PHYSICAL THERAPY 24 SAW MILL RIVER ROAD
HAWTHORNE NY
10532
US

IV. Provider business mailing address

SLEEPY HOLLOW PHYSICAL THERAPY 24 SAW MILL RIVER ROAD
HAWTHORNE NY
10532
US

V. Phone/Fax

Practice location:
  • Phone: 914-631-6969
  • Fax:
Mailing address:
  • Phone: 914-631-6969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number015434
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number015434
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: