Amber Donn Cantey, DPT

Individual provider Active NPI Physical Therapist · Fort Drum, NY

NPI 1043038508 · NPPES record last updated Oct 2, 2024

Key facts

NPI
1043038508
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTL.0020145 (CO)
Practice address
11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603
Phone
(210) 419-1874
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTL.0020145COMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0020145 CO Yes

Addresses

Primary practice location

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Mailing address

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Other providers in Fort Drum, NY

All providers in Fort Drum, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.