MEDICARE: CATHERINE MARY POWELL

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	225100000X	Physical Therapist	043909	NY

General Provider Information

NPI Number	:	1851861454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE MARY POWELL

Provider Business Mailing Address
First Line	:	157 N OCEAN AVE STE 4
Second Line	:
City	:	PATCHOGUE
State	:	NY
Zip	:	11772-2016
Country	:	US
Telephone Number	:	631-317-1222
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 N OCEAN AVE STE 4
Second Line	:
City	:	PATCHOGUE
State	:	NY
Zip	:	11772-2016
Country	:	US
Telephone Number	:	631-317-1222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2018
Last Update Date	:	05/11/2026

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Directions to “ CATHERINE MARY POWELL ” Practice Location

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