Theresa Caroselli, P.T.
Individual provider Active NPI Physical Therapist · Pine Bush, NY
NPI 1578892949 · NPPES record last updated Dec 15, 2009
Key facts
- NPI
- 1578892949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 009164-1 (NY)
- Practice address
- 155 Center St.
Pine Bush Physical Therapy
Pine Bush, NY 12566 - Phone
- (845) 744-8801
- NPI assigned
- Dec 15, 2009
- 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 |
|---|---|---|---|
| 009164-1 | NY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009164-1 | NY | Yes |
Addresses
Primary practice location
155 Center St.
Pine Bush Physical Therapy
Pine Bush, NY 12566
Mailing address
155 Center St.
Pine Bush Physical Therapy
Pine Bush, NY 12566
Phone (845) 744-8801
Other names
- Theresa Dietz
Other providers in Pine Bush, NY
- Damon Thomas Brecheisen
- Christine Lynn Burley
- Tracie Caccavale
- Yaritza Caicedo
- Tina Suzette Capalbo
- John Cavalluzzi
- Lisa Dawn Cederlund
- Gary Ciuffetelli
- Rosemarie Cole
- Community Birth Group
All providers in Pine Bush, 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 Dec 15, 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.