MEDICARE: ORTHOCARE PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	012170-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	QN822-2	OTHER	NY	BCBS

General Provider Information

NPI Number	:	1720141690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOCARE PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	1053 SAW MILL RIVER RD
Second Line	:	SUITE 105
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1048
Country	:	US
Telephone Number	:	914-693-2350
Fax Number	:	914-693-7661

Provider Business Practice Location Address
First Line	:	1053 SAW MILL RIVER RD
Second Line	:	SUITE 105
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1048
Country	:	US
Telephone Number	:	914-693-2350
Fax Number	:	914-693-7661

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BENITO GIAMPAGLIA
Credential	:	PT, OCS, MTC
Telephone Number	:	914-693-2350

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	10/17/2023

Similar Medicare Providers

1528039492 — BENITO GIAMPAGLIA PT,MTC
Practice Location Address:

1053 SAW MILL RIVER RD , SUITE105
ARDSLEY, NY
10502-1048

Practice Phone: 914-693-2350
Practice Fax: 914-693-7661

1366652406 — DR. EVAN MICHAEL TEMKIN D.M.D.
Practice Location Address:

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Practice Location Address:

1053 SAW MILL RIVER RD STE LL1
ARDSLEY, NY
10502-1048

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1033361357 — HTA OF NEW YORK
Practice Location Address:

1053 SAW MILL RIVER RD , SUITE 101
ARDSLEY, NY
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1861644130 — MRS. KRISTY ANN CASTALDO
Practice Location Address:

1053 SAW MILL RIVER RD
ARDSLEY, NY
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1225280431 — MS. GAIL FULD
Practice Location Address:

1053 SAW MILL RIVER RD
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10502-1048

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Directions to “ORTHOCARE PHYSICAL THERAPY ” Practice Location

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