Provider Demographics
NPI: | 1720517154 |
---|---|
Name: | WESTCHESTER PHYSICAL AND OCCUPATIONAL THERAPY, PLLC |
Entity type: | Organization |
Organization Name: | WESTCHESTER PHYSICAL AND OCCUPATIONAL THERAPY, PLLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | DANA |
Authorized Official - Middle Name: | RADEL |
Authorized Official - Last Name: | SMITH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DPT |
Authorized Official - Phone: | 914-574-6493 |
Mailing Address - Street 1: | 495 CENTRAL PARK AVE STE 206 |
Mailing Address - Street 2: | |
Mailing Address - City: | SCARSDALE |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10583-1038 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 929-335-3478 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 495 CENTRAL PARK AVE |
Practice Address - Street 2: | STE 206 |
Practice Address - City: | SCARSDALE |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10804 |
Practice Address - Country: | US |
Practice Address - Phone: | 929-335-3478 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-06-08 |
Last Update Date: | 2025-05-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Multi-Specialty |
No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Multi-Specialty |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | Group - Multi-Specialty |
No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |