Tami Alexis Doyle, PHYSICAL THERAPIST

Key facts

NPI

1609021807

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Physical Therapist 2251P0200X

License

013854 (NY)

Practice address

301 LT Brender Hwy
Ferndale, NY 12734-5403

Phone

(845) 292-3427

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 3, 2008.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1609021807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LT BRENDER HWY",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127345403",
            "telephone_number": "845-292-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LT BRENDER HWY",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127345403",
            "telephone_number": "845-292-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "TAMI",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "013854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Evergreen Meadow Services Inc
• Excel Physical Therapy & Wellness, PC
• Ferndale Adult Health N.P. PLLC
• Ferndale Psychological Services

All providers in Ferndale, NY · Pediatric Physical Therapist in New York