Healthcare Provider Details

I. General information

NPI: 1538047196
Provider Name (Legal Business Name): ISABELLE ROSE SARLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 SUNRISE HWY
WEST BABYLON NY
11704-6004
US

IV. Provider business mailing address

204 OTIS LN
BAY SHORE NY
11706-7732
US

V. Phone/Fax

Practice location:
  • Phone: 516-475-2614
  • Fax:
Mailing address:
  • Phone: 631-707-5827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number055382
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number055382
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: