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General NPI Number Information
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NPI Number | 1972462794
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Entity Type | Organization
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Legal Business Name | ENDWELL PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | 3401 E MAIN ST STE C UNIT 1
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City | ENDWELL
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State | NY
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Zip | 13760-5978
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Country | US
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Telephone | 607-476-5828
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Fax |
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Provider Business Mailing Address
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Address Line | 949 DEBONAIR DR
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City | ENDWELL
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State | NY
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Zip | 13760-1640
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Country | US
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Telephone | 607-476-5828
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MICHAEL ANTHONY ISENBERG
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Credential | PT
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Telephone | 607-476-5828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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