# IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE PATHOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IVYREHAB PHYSICAL THERAPY, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194295998
- **Authorized official:** ASHLEY GRIFFITHS (SR. DIRECTOR OF PROVIDER RELATIONS)
- **Authorized official phone:** (914) 294-4050

## Contact information

- **Practice address:** 918 ULSTER AVE, KINGSTON, NY 12401-1344
- **Practice address phone:** (845) 339-8900
- **Practice address fax:** (845) 663-1351
- **Mailing address:** PO BOX 416501, BOSTON, MA 02241-7594
- **Mailing address phone:** (914) 294-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2018
- **Last updated:** 09/02/2025