Healthcare Provider Details

I. General information

NPI: 1609680404
Provider Name (Legal Business Name): STABLE FRIENDSHIPS PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 WACCABUC RIVER LN
SOUTH SALEM NY
10590-1117
US

IV. Provider business mailing address

PO BOX 14
BEDFORD NY
10506-0014
US

V. Phone/Fax

Practice location:
  • Phone: 914-357-7688
  • Fax:
Mailing address:
  • Phone: 914-357-7688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA FALCO
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S., CCC-SLP
Phone: 914-357-7689