Organization Active NPI

Northern Westchester-Putnam Physical Therapy, PC.

  • Physical Therapy Clinic/Center
  • Putnam Valley, NY
National Provider Identifier
1720121767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
020070-1 Issued in NY
Legal business name
NORTHERN WESTCHESTER-PUTNAM PHYSICAL THERAPY, PC.
Practice address
21 Peekskill Hollow Rd
Suite 201
Putnam Valley, NY 10579-3248
Phone
(845) 528-3133
Fax
(845) 528-0463
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Maryann C Russo, M.S., P.T.NPI 1518001536
Title
Director
Phone
(845) 528-3133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 020070-1 NY Primary

Addresses

Primary practice location

21 Peekskill Hollow Rd
Suite 201
Putnam Valley, NY 10579-3248

Mailing address

21 Peekskill Hollow Rd
Suite 201
Putnam Valley, NY 10579-3248
Phone (845) 528-3133

National Provider Directory

National Provider Directory
Tax ID family
Northern Westchester and Putnam Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720121767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PEEKSKILL HOLLOW RD",
            "address_2": "SUITE 201",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793248",
            "telephone_number": "845-528-3133",
            "fax_number": "845-528-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PEEKSKILL HOLLOW RD",
            "address_2": "SUITE 201",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793248",
            "telephone_number": "845-528-3133",
            "fax_number": "845-528-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WESTCHESTER-PUTNAM PHYSICAL THERAPY, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-528-3133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "020070-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.