Healthcare Provider Details

I. General information

NPI: 1225609019
Provider Name (Legal Business Name): STRONG STEPS PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2021
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2691 STATE ROUTE 9 STE 102
MALTA NY
12020-4319
US

IV. Provider business mailing address

2691 STATE ROUTE 9 STE 102
MALTA NY
12020-4319
US

V. Phone/Fax

Practice location:
  • Phone: 518-430-2008
  • Fax: 518-633-1029
Mailing address:
  • Phone: 518-430-2008
  • Fax: 518-633-1029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY A CREWS
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 518-430-2008