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Individual provider Active NPI Physical Therapist · Cortlandt Mano, NY

NPI 1285510313 · NPPES record last updated Aug 13, 2025

Key facts

NPI
1285510313
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
038647 (NY)
Practice address
2300 Catherine Street
Cortlandt Mano, NY 10567
Phone
(914) 739-2244
NPI assigned
Aug 13, 2025
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
038647NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038647 NY Yes

Addresses

Primary practice location

2300 Catherine Street
Cortlandt Mano, NY 10567

Mailing address

1345 Avenue of the Americas FL 11
New York, NY 10105
Phone (347) 399-5594

Sources for this page

Verify at the official NPI Registry.