Emmanuel Augusto Quinan, P.T.
Individual provider Active NPI Physical Therapist · Hogansburg, NY
NPI 1447056593 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1447056593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 052008-01 (NY)
- Practice address
- 447 Frogtown Road
Suite 301
Hogansburg, NY 13655-3136 - Phone
- (518) 358-9778
- Fax
- (518) 358-2043
- NPI assigned
- Feb 20, 2025
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052008-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Physical Therapy & Pta PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
447 Frogtown Rd
Ste 301
Hogansburg, NY 13655
Phone (315) 842-7966
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 052008-01 | NY | Yes |
Addresses
Primary practice location
447 Frogtown Road
Suite 301
Hogansburg, NY 13655-3136
Mailing address
447 Frogtown Road
Suite 301
Hogansburg, NY 13655-3136
Phone (518) 358-9778
Other providers in Hogansburg, NY
- Joseph S Park
- Lacey S Peters
- Phoenix Physical Therapy & Pta PLLC
- Heather Marie Pontius
- Hillary Jill Pyke
- Derek John Reynolds
- Saint Regis Mohawk Tribe
- Rita Jean Saumier
- Brenda Lyn Spurbeck
- St Regis Mohawk Tribe
All providers in Hogansburg, 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 Feb 20, 2025. 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.