Giles C Churchman, PTA
Individual provider Active NPI Physical Therapy Assistant · Hornell, NY
NPI 1447587076 · NPPES record last updated Nov 3, 2009
Key facts
- NPI
- 1447587076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 66007220 (NY)
- Practice address
- 411 Canisteo St
Hornell, NY 14843-2104 - Phone
- (607) 324-8280
- Fax
- (607) 324-8283
- NPI assigned
- Nov 3, 2009
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 66007220 | NY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 66007220 | NY | Yes |
Addresses
Primary practice location
411 Canisteo St
Hornell, NY 14843-2104
Mailing address
217 Vincent St
Hornell, NY 14843-1840
Phone (607) 382-5115
Other providers in Hornell, NY
- Nicole Rhiannon Carey
- Dianne M Carney
- John D Cerio Jr.
- Nasar A Chaudhry
- Bryan Franklyn Cheskiewicz
- Michelle Cinque
- City of Hornell
- Shelly A Clancy
- Amy E. Clark
- Melanie J. Clark
All providers in Hornell, NY · Physical Therapy Assistant 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 3, 2009. 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.