Palisades Lymphedema & Oncology Physiotherapy, RLLP

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PALISADES LYMPHEDEMA & ONCOLOGY PHYSIOTHERAPY, RLLP

Practice address

7 New Lake Rd
Valley Cottage, NY 10989-1868

Phone

(845) 809-8176

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Mitchell, PT, DPT

Title

Physical Therapist, Owner

Phone

(845) 325-3271

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1730786369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TABLE ROCK RD",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874721",
            "telephone_number": "845-325-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NEW LAKE RD",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891868",
            "telephone_number": "845-809-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES LYMPHEDEMA & ONCOLOGY PHYSIOTHERAPY, RLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "845-325-3271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Mary O'Reilly, RN
• Operation Engage Inc
• Orthotics & Prosthetics Technologies Corp
• Daisy Ortiz
• Jahan Ortiz, CASAC
• Christina Pamphile
• Tiffanie Parker-Lewin
• Pathway Nutrition LLC
• Omar Pecou, LPN
• Luisa Perdigo

• Physical Therapy Clinic/Center in Valley Cottage, NY
• Providers in Valley Cottage, 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 Oct 6, 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.