Joanne P Coonradt, PT
Individual provider Active NPI Physical Therapist · Middleburgh, NY
NPI 1477820710 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1477820710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 003901-1 (NY)
- Practice address
- 245 Main Street
Middleburgh, NY 12122 - Phone
- (518) 827-3600
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- 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 |
|---|---|---|---|
| 003901-1 | NY | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003901-1 | NY | Yes |
Addresses
Primary practice location
245 Main Street
Middleburgh, NY 12122
Mailing address
245 Main St
Middleburgh, NY 12122
Phone (518) 827-3600
Other names
- Joanne P Hart
Other providers in Middleburgh, NY
- Caroline E Marie Andrew
- Felicia Bacon
- Bassett Healthcare Middleburgh
- Peter H Bennett
- Diane Fay Carrk
- Jenna Crull
- Sydney Dethomasis
- Sierra Diamond
- Lisa M Donnini
- Faith Fisk
All providers in Middleburgh, 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 30, 2011. 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.