CLIFTON PARK PHYSICAL THERAPY NPI 1396063491

NPI Information

  • NPI: 1396063491
  • Provider Name: CLIFTON PARK PHYSICAL THERAPY
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 4 EMMA LN
    SUITE 401
    CLIFTON PARK, NY
    ZIP 12065
  • Phone: (518) 383-2610

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NPI Details

CLIFTON PARK PHYSICAL THERAPY is a sports medicine physical medicine rehabilitation in Clifton Park, NY. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. CLIFTON PARK PHYSICAL THERAPY NPI is 1396063491. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 EMMA LN
SUITE 401
CLIFTON PARK, NY
ZIP 12065-763
Phone: (518) 383-2610
Fax: (518) 383-8188

The provider's authorized official is Mitchel James George .
The authorized official title is Staff Physical Therapist and has the following contact phone number (518) 383-2610.

The enumeration date for this NPI number is 5/13/2010 and was last updated on 5/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports Medicine024224-1NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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