Donna Boughal
Individual provider Active NPI Physical Therapy Assistant · Westhampton Beach, NY
NPI 1497159727 · NPPES record last updated Oct 15, 2014
Key facts
- NPI
- 1497159727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 005535-1 (NY)
- Practice address
- 74 Old Riverhead Rd
Westhampton Beach, NY 11978-1401 - Phone
- (631) 288-7767
- NPI assigned
- Oct 15, 2014
- 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 |
|---|---|---|---|
| 005535-1 | NY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 005535-1 | NY | Yes |
Addresses
Primary practice location
74 Old Riverhead Rd
Westhampton Beach, NY 11978-1401
Mailing address
74 Old Riverhead Rd
Westhampton Beach, NY 11978-1401
Other providers in Westhampton Beach, NY
- Barbara Joyce Besso
- Barbara Betts
- Christopher Robert Beuhler
- Joseph Ronald Bieniewicz
- Maggie J. Bloomfield
- Elizabeth J Bowman
- Frederick Bowman
- Margaret Brogan
- Joseph Bucci
- Elyssa Byer
All providers in Westhampton Beach, 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 Oct 15, 2014. 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.