Joanne Maly Barneveld Physical Therapy, PC
Organization Active NPI Physical Therapist · Barneveld, NY
NPI 1346582350 · NPPES record last updated Mar 18, 2013
Key facts
- NPI
- 1346582350
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 010569 (NY)
- Legal business name
- JOANNE MALY BARNEVELD PHYSICAL THERAPY, PC
- Practice address
- 8022 State Route 12
Barneveld, NY 13304-2512 - Phone
- (315) 896-5100
- Fax
- (315) 896-5102
- NPI assigned
- Mar 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Joanne Maly, DPT
- Title
- Owner
- Phone
- (315) 896-5100
Practitioners 5
-
Joanne Young, P.T.
-
Shane Davis, P.T.
-
Brittany Simpson, PT, DPT
-
Melissa Brodt, PT, DPT
-
Denise McVay, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150401000614 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3678714987 |
Receives reassigned benefits from 1 practitioner Practice locations: Barneveld, NY; Old Forge, NY |
National Provider Directory
Locations
8022 State Route 12
Barneveld, NY 13304
Phone (315) 896-5100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 010569 | NY | Yes |
Addresses
Primary practice location
8022 State Route 12
Barneveld, NY 13304-2512
Mailing address
8022 State Route 12
Barneveld, NY 13304-2512
Phone (315) 896-5100
Other providers in Barneveld, NY
- Rosemarie F Hall
- William Charles Hartnagel
- Trinda Lee Hayes
- David Helmer
- Rhiannon Samantha Hickox
- Daryl Kasprowicz
- Gyasi Kodua
- Lenore Lampert
- Katherine Nicole Leroy
- Audrey Marcoux
All providers in Barneveld, 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 Mar 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.