Putnam Physical Medicine & Rehabilitation PC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

206144 Issued in NY

Legal business name

PUTNAM PHYSICAL MEDICINE & REHABILITATION PC

Practice address

880 S Lake Blvd Ste 201
Mahopac, NY 10541-4771

Phone

(845) 628-4400

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lorelei Davidson, M.D.

Title

President

Phone

(845) 628-2004

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Peter James Coombs, D.C.

  • Chiropractor
  • Mahpac, NY
  • NPI 1487984415
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1851454847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S LAKE BLVD STE 201",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414771",
            "telephone_number": "845-628-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S LAKE BLVD STE 201",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414771",
            "telephone_number": "845-628-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM PHYSICAL MEDICINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "LORELEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-628-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "206144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proactive Physical Therapy, PC
• Adriana A Puccio, MS
• Emily Grace Pupovic
• Putnam County Chapter, Nysarc, Inc.
• Putnam Medical Services
• Micaiah Mary Quarcoo, LCSW
• Denise Lynn Quartararo, R.N.
• Sandra Quevedo, LCSW
• Lisa Westfall Quigley, LCSW R
• Qwest Therapy LCSW PLLC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.