Patricia Jean Boehlert
Individual provider Active NPI Physical Therapist · Fayetteville, NY
NPI 1245870187 · NPPES record last updated Jan 8, 2020
Key facts
- NPI
- 1245870187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 010847-1 (NY)
- Practice address
- 4401 Medical Center Dr Ste 401
Fayetteville, NY 13066-6603 - Phone
- (315) 329-2550
- Fax
- (315) 744-1947
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Hospital Health Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010847-1 | NY | Yes |
Addresses
Primary practice location
4401 Medical Center Dr Ste 401
Fayetteville, NY 13066-6603
Mailing address
4401 Medical Center Dr Ste 401
Fayetteville, NY 13066-6603
Phone (315) 329-2550
Other providers in Fayetteville, NY
- John Kristian Best
- Rohit Bhan
- Dil Bhujel
- Biby Rajan-George M.D PLLC
- Allan M Birnbaum
- Mary Beth Borio
- Jessica Faye Bouchard
- Tara Brackley
- Carole S. Bragdon
- Denis F Branson
All providers in Fayetteville, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.