Eclipse Physical Therapy and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011893 Issued in NY

Legal business name

ECLIPSE PHYSICAL THERAPY AND WELLNESS LLC

Practice address

6325 Route 209
Kerhonkson, NY 12446

Phone

(845) 647-4171

Fax

(845) 647-4174

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dan Millrood, PT

Title

Physical Therapist

Phone

(845) 647-4171

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Daniel Millrood, EDM, PT

  • Specialist
  • Ellenville, NY
  • NPI 1588742787
  Medicare reassignment NPD
• Matthew Dylan Rogers, PT, DPT

  • Physical Therapist
  • Kerhonkson, NY
  • NPI 1821567215
  Medicare reassignment
• Parker Comentino

  • Physical Therapy Assistant
  • Kerhonkson, NY
  • NPI 1942923743
  NPD
• Julie Beth Fineman, PT

  • Neurology Physical Therapist
  • Ellenville, NY
  • NPI 1144243288
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1891824322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "124460685",
            "telephone_number": "845-647-4171",
            "fax_number": "845-647-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 ROUTE 209",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "12446",
            "telephone_number": "845-647-4171",
            "fax_number": "845-647-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "MILLROOD",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-647-4171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Q5W5D1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bipin J. Bhavsar, M.D.
• Catskill Pharmacy Inc
• Parker Comentino
• Michelle Mae Davis, LCSW
• Jessica Lyn Decicco
• Holly E Elliott, D.C.
• Fransiscus Xaverius DDS, PLLC
• Jennifer Suzanne Graham, RN
• James Grovenburg, MD
• Lucinda Grovenburg, MD

• Physical Therapist in Kerhonkson, NY
• Providers in Kerhonkson, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.