Mahopac Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MAHOPAC PHYSICAL THERAPY P.C.

Practice address

880 S Lake Blvd
Mahopac, NY 10541-4765

Phone

(845) 628-5578

Fax

(845) 628-1654

NPI assigned

Mar 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edward W. Lutz Jr., P.T.

Title

Owner

Phone

(845) 628-5578

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1689790479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105410940",
            "telephone_number": "845-628-5578",
            "fax_number": "845-628-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S LAKE BLVD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414765",
            "telephone_number": "845-628-5578",
            "fax_number": "845-628-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOPAC PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-628-5578",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahopac CSD
• Mahopac Eyewear Inc.
• Mahopac Family Vision Care
• Mahopac Ophthalmology PC
• Mahopac Pharmacy Inc.
• Mahopac Radiation Oncology
• Blair Maloney, SLP
• Shaylyn Maloney, LMHC
• Gabriella Nicole Maniscalco, M.S., CCC-SLP
• Pamela McGurgan Marinelli, LMHC

• Physical Therapy Clinic/Center in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.