Empire State Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017188 Issued in NY

Legal business name

EMPIRE STATE PHYSICAL THERAPY, PC

Practice address

134 Main St
New Paltz, NY 12561-1128

Phone

(845) 255-1925

Fax

(845) 255-1925

NPI assigned

Aug 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raymond Leslie Wong-Pan, P.T.

Title

Physical Therapist

Phone

(845) 255-1925

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Kelly, LCSW

  • Clinical Social Worker
  • Poughkeepsie, NY
  • NPI 1356456529
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1083805535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "GARDINER",
            "state": "NY",
            "postal_code": "125250188",
            "telephone_number": "845-255-1925",
            "fax_number": "845-255-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611128",
            "telephone_number": "845-255-1925",
            "fax_number": "845-255-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE STATE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "WONG-PAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-255-1925",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Rose Eagleton, LCSW
• Alison Kay Easton
• Elinor B Descovich, O.D., P.C.
• Eve-Marie Elkin-Schaffer, LMSW
• Empire Lactation, Inc.
• Regina Epperhart, LMSW
• Todd Essig, PH.D.
• Evil Eye Optometry P.C.
• Pierrette Therese Farber, LMHC
• Patricia Farragher, DPM

• Physical Therapist in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.