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General NPI Number Information
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NPI Number | 1215637699
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Entity Type | Organization
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Legal Business Name | IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE PATHOLOGY, PLLC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 159 E 74TH ST UNIT 3
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City | NEW YORK
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State | NY
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Zip | 10021-3235
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Country | US
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Telephone | 646-762-4414
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 416501
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City | BOSTON
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State | MA
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Zip | 02241-6501
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Country | US
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Telephone | 914-294-4050
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR OF PROVIDER RELATIONS
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Name | ASHLEY GRIFFITHS
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Credential |
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Telephone | 914-294-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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