Active NPI
Lewisboro Physical Therapy PC
Doing business as Katonah Physical Therapy PC
- Physical Therapist
- Katonah, NY
National Provider Identifier
1427188440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024977
- Legal business name
- LEWISBORO PHYSICAL THERAPY PC
- Doing business as
- Katonah Physical Therapy PC
- Practice address
- 190 Goldens Bridge Rd
Katonah, NY 10536-2804 - Phone
- (914) 232-3306
- Fax
- (914) 232-4862
- NPI assigned
- Mar 7, 2007
- Organization subpart
- Yes
- Parent organization
- LEWISBORO PHYSICAL THERAPY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sean W Waters, M.S.P.T.
- Title
- President
- Phone
- (412) 654-3212
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 024977 | NY | Primary |
Addresses
Primary practice location
190 Goldens Bridge Rd
Katonah, NY 10536-2804
Mailing address
PO Box 101
Suwanee, GA 30024-0101
Phone (338) 887-8688
Other names 1
- Katonah Physical Therapy PC
National Provider Directory
National Provider Directory- Part of
- Lewisboro Physical Therapy PC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- New York, NY
- NPI 1528157385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570492800000",
"number": "1427188440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300240101",
"telephone_number": "338-887-8688",
"fax_number": "833-888-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 GOLDENS BRIDGE RD",
"city": "KATONAH",
"state": "NY",
"postal_code": "105362804",
"telephone_number": "914-232-3306",
"fax_number": "914-232-4862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWISBORO PHYSICAL THERAPY PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEWISBORO PHYSICAL THERAPY",
"enumeration_date": "2007-03-07",
"last_updated": "2019-10-08",
"status": "A",
"authorized_official_last_name": "WATERS",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-654-3212",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.S.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "024977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Katonah Physical Therapy PC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Katonah Physical Therapy PC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.