Northern Westchester and Putnam Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

012536-1 Issued in NY

Legal business name

NORTHERN WESTCHESTER AND PUTNAM PHYSICAL THERAPY

Practice address

21 Peekskill Hollow Rd Ste 201
Putnam Valley, NY 10579-3254

Phone

(845) 528-3133

Fax

(845) 528-0463

NPI assigned

Feb 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maryann C. Russo, MS, PTNPI 1518001536

Title

Direct Owner

Phone

(845) 528-3133

Specialties & licenses 1

Addresses

Tax ID family

Northern Westchester and Putnam Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Westchester-Putnam Physical Therapy, PC.

  • Physical Therapy Clinic/Center
  • Putnam Valley, NY
  • NPI 1720121767
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryann C Russo, P.T.

  • Physical Therapist
  • Putnam Valley, NY
  • NPI 1518001536
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225171101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PEEKSKILL HOLLOW RD STE 201",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793254",
            "telephone_number": "845-528-3133",
            "fax_number": "845-528-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PEEKSKILL HOLLOW RD STE 201",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793254",
            "telephone_number": "845-528-3133",
            "fax_number": "845-528-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WESTCHESTER AND PUTNAM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "845-528-3133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "012536-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Care Medical Services PC
• Shehla Y Naqvi, MD
• Kay S Nathanson, LCSW
• National Sleep Labs
• Neonates and Pediatrics
• Northern Westchester Surgical Associates, LLP
• Northern Westchester-Putnam Physical Therapy PC
• Northern Westchester-Putnam Physical Therapy, PC.
• Ortho Bracing Systems LTD
• Sara-Rose Marie Ortiz

• Physical Therapy Clinic/Center in Putnam Valley, NY
• Providers in Putnam Valley, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.