Proactive Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020539 Issued in NY

Legal business name

PROACTIVE PHYSICAL THERAPY, PC

Practice address

310 Croton Falls Rd
Mahopac, NY 10541-4002

Phone

(914) 843-4738

NPI assigned

Mar 31, 2007

Last updated

Jan 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Minnich, P.T.NPI 1588610141

Title

President

Phone

(914) 843-4738

Specialties & licenses 1

Addresses

Tax ID family

Proactive Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Proactive Physical Therapy P.C.

  • Physical Therapist
  • Somers, NY
  • NPI 1881871911
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Cameron Minnich, P.T.

  • Physical Therapist
  • Somers, NY
  • NPI 1588610141
  NPD Authorized official

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1972623981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CROTON FALLS RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414002",
            "telephone_number": "914-843-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CROTON FALLS RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414002",
            "telephone_number": "914-843-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "MINNICH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-843-4738",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Powers, LPN
• Chandra Prasad
• Susan M Prevost, M.A.CCC-SLP
• Jessica Marie Primiano, PA-C
• Dahley Dawnn Pritchard
• Adriana A Puccio, MS
• Emily Grace Pupovic
• Putnam County Chapter, Nysarc, Inc.
• Putnam Medical Services
• Putnam Physical Medicine & Rehabilitation PC

• Physical Therapist in Mahopac, NY
• Providers in Mahopac, 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 Jan 28, 2008; 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.