Healthcare Provider Details

I. General information

NPI: 1467730655
Provider Name (Legal Business Name): SAMANTHA SCHIERLE D.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2011
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 TOMPKINS AVE PLEASANTVILLE PHYSICAL THERAPY & SPORTS CARE
PLEASANTVILLE NY
10570
US

IV. Provider business mailing address

175 TOMPKINS AVE PLEASANTVILLE PHYSICAL THERAPY & SPORTS CARE
PLEASANTVILLE NY
10570
US

V. Phone/Fax

Practice location:
  • Phone: 914-495-3655
  • Fax: 914-495-3651
Mailing address:
  • Phone: 914-495-3655
  • Fax: 914-495-3651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number62-034013
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: