Garnet Physical Therapy PLLC
Organization Active NPI Physical Therapist · Chestertown, NY
NPI 1346907656 · NPPES record last updated Nov 22, 2021
Key facts
- NPI
- 1346907656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- GARNET PHYSICAL THERAPY PLLC
- Practice address
- 23 Church St
Chestertown, NY 12817 - Phone
- (518) 409-9816
- Fax
- (518) 671-3747
- NPI assigned
- Nov 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Karen B Kowalczyk, PT
- Title
- Owner
- Phone
- (518) 409-9816
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220407001661 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8123419801 |
Receives reassigned benefits from 1 practitioner Practice locations: Chestertown, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
23 Church St
Chestertown, NY 12817
Mailing address
PO Box 764
Chestertown, NY 12817-0764
Phone (518) 409-9816
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All providers in Chestertown, 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 Nov 22, 2021. 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.