Wendy Ann Maciariello, DPT
Individual provider Active NPI Physical Therapist · Warrensburg, NY
NPI 1760412225 · NPPES record last updated Sep 16, 2016
Key facts
- NPI
- 1760412225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 023111 (NY)
- Practice address
- 28 Hudson St
Warrensburg, NY 12885-1204 - Phone
- (518) 623-3410
- Fax
- (518) 623-6358
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023111 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023111 | NY | Yes |
Addresses
Primary practice location
28 Hudson St
Warrensburg, NY 12885-1204
Mailing address
28 Hudson St
Warrensburg, NY 12885-1204
Phone (518) 623-3410
Other providers in Warrensburg, NY
- Mia Patricia Georgia Kennedy
- Kathryn Mary Kernan
- Lauren Kipp
- Michelle M Kisiel-Cohen
- Jeanine R Lawler
- Elizabeth L Maher
- Karen Lyn Major
- Alexandra Maliha
- Olivia Mae Maxam
- James A McDonough
All providers in Warrensburg, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.