Prashant Malhotra, PT
Individual provider Active NPI Physical Therapist · Ticonderoga, NY
NPI 1780845164 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1780845164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 030330 (NY)
- Practice address
- 1019 Wicker St
Ticonderoga, NY 12883-1039 - Phone
- (518) 585-3810
- Fax
- (518) 585-3822
- NPI assigned
- Jun 19, 2008
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 030330 | NY | Yes |
Addresses
Primary practice location
1019 Wicker St
Ticonderoga, NY 12883-1039
Mailing address
1019 Wicker St
Ticonderoga, NY 12883-1039
Phone (518) 585-3810
Other providers in Ticonderoga, NY
- Amy Lapierre
- Sarah Jane Lapointe
- Renee Katherine Larock-Gary
- Linda L Leavens
- Susan B Malaney
- Richard N McKeever
- Robert Thomas McLaughlin
- Patricia M McLoughlin
- Nicholas J Montello
- Michelle Cara Moore
All providers in Ticonderoga, 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 Jun 19, 2008. 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.