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FINGER LAKES PHYSICAL THERAPY PC NPI 1720034093


NPI Information

NPI: 1720034093
Provider Name: FINGER LAKES PHYSICAL THERAPY PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
376 ELMIRA RD STE 100
ITHACA, NY
ZIP 14850
Phone: (607) 272-9937
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FINGER LAKES PHYSICAL THERAPY PC is a specialist in Ithaca, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FINGER LAKES PHYSICAL THERAPY PC NPI is 1720034093. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

376 ELMIRA RD STE 100
ITHACA, NY
ZIP 14850-115
Phone: (607) 272-9937
Fax: (888) 978-4495

The provider's authorized official is Kristine Walker .
The authorized official title is Owner and has the following contact phone number (607) 272-9337.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/19/2021.


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
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101758694MEDICAIDNEW MEXICO
201905595MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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