Organization
CATSKILL MOUNTAIN PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER ROBERTS P.T. (OWNER)
(845) 688-7064
Entity
Organization
Contact information
Practice address
319 MAVERICK RD, GLENFDORD, NY 12498
(845) 688-7064
(845) 688-2811
Mailing address
318FOXHOLLOWRD, SHANDAKEN, NY 12480-0064
(845) 688-7064
(845) 688-2811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014531-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10096311
CDPHP
NY
01
—
1770507469
INDIVIDUAL NPI
NY
01
—
603426
MVP
NY
01
—
89756
GHI HMO
NY
01
—
Q16R71
EMPIRE BLUE CROSS BS
NY
Enumeration date
09/07/2006
Last updated
02/10/2017
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