Densie Moore, PT

Individual provider Active NPI Physical Therapist · Pound Ridge, NY

NPI 1669525655 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1669525655
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
024041 (NY)
Practice address
98 Hack Green Rd
Pound Ridge, NY 10576-2131
Phone
(914) 764-8423
NPI assigned
Jan 21, 2007
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

LicenseStateTypeSpecialty
2297CTMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024041 NY Yes
Physical Therapist 225100000X 2297 CT

Addresses

Primary practice location

98 Hack Green Rd
Pound Ridge, NY 10576-2131

Mailing address

98 Hack Green Rd
Pound Ridge, NY 10576-2131
Phone (914) 764-8423

Other providers in Pound Ridge, NY

All providers in Pound Ridge, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.