Spring Lake PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPRING LAKE PT PC

Practice address

15 Wyandotte Ave
Highland Falls, NY 10928-1311

Phone

(845) 446-4646

NPI assigned

Feb 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Toni Maria Wanamaker

Title

Office Coordinator

Phone

(845) 458-4932

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

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

• Edward Steven Leonard, P.T.

  • Physical Therapist
  • New Windsor, NY
  • NPI 1306018932
  NPD (past)

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891833497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 PINE VW",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534902",
            "telephone_number": "845-458-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WYANDOTTE AVE",
            "city": "HIGHLAND FALLS",
            "state": "NY",
            "postal_code": "109281311",
            "telephone_number": "845-446-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING LAKE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WANAMAKER",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "845-458-4932",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "1972227",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "00405598001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "781294",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDHP",
            "identifier": "10088212",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rocco Russo, M.D.
• Karen Schocher
• Sahil Shah
• Susan Marie Slapp, R.N.
• Somebody Cares Ny Inc. (Right at Home Highlands)
• Pamela Ann Staton, LPN
• Charles Ladd Stoll, LCSW,CASAC
• Rosanne T. Storms, LMHC
• Brandee Taylor, CASAC-T
• Koreen E. Thomas, FNP

• Physical Therapist in Highland Falls, NY
• Providers in Highland Falls, 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 Jul 21, 2022; 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.