Healthcare Provider Details

I. General information

NPI: 1992016570
Provider Name (Legal Business Name): JANET BRENNAN CAHILL PT, DPT, MBA, CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 07/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 E 70TH ST REHAB DEPT 2ND FLOOR ROOM 2W-120
NEW YORK NY
10021-4823
US

IV. Provider business mailing address

535 E 70TH ST
NEW YORK NY
10021-4823
US

V. Phone/Fax

Practice location:
  • Phone: 212-606-1221
  • Fax:
Mailing address:
  • Phone: 212-224-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number01789-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: