Organization
BINGHAMTON PHYSICAL THERAPY, P.C.
Active
Organization
BINGHAMTON PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C FLANAGAN (PRESIDENT)
(607) 648-4646
Entity
Organization
Contact information
Practice address
17 CHARLES ST, BINGHAMTON, NY 13905-2484
(607) 304-4546
(607) 304-4547
Mailing address
34 FRONT ST, BINGHAMTON, NY 13905-4704
(607) 304-4546
(607) 304-4547
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028098-1
NY DOCTORATE OF PHYSICAL THERAPY LICENSE #
NY
01
—
1114165545
INDIVIDUAL PROVIDER NPI
NY
01
—
12114105
CAQH
NY
01
—
PT028098-2
NY WORKER'S COMPENSATION BOARD
NY
Enumeration date
12/01/2020
Last updated
04/29/2025
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