Dorothea Burget Southwick in Champlain - Physical Therapist
Dorothea Burget Southwick - NPI 1689661092
Dorothea Burget Southwick is a Physical Therapist in Champlain, New York. Dorothea Burget Southwick practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Dorothea Burget Southwick is 1689661092. The last update date is 2016-12-01.
Dorothea Burget Southwick's current location address is Po Box 702, Champlain, New York. You can contact this provider via phone number 5182981111 and fax number 5182981111. The mailing address for Dorothea Burget Southwick is Po Box 702, Champlain, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorothea Burget Southwick |
|---|---|
| Address | Po Box 702, Champlain, New York |
| Phone Number | 5182981111 |
| Fax Number | 5182981111 |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1689661092 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2016-12-01 |
Provider Mailing Address Detail
| Address | Po Box 702 |
|---|---|
| City | Champlain |
| State | New York (NY) |
| Post Code | 12919 |
| Phone Number | 5182981111 |
| Fax Number | 5182981111 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 65281 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 405998001 | NY | BLUE SHIELD OF NORTHEASTE | |
| Q66832 | NY | EMPIRE BCBS | |
| 110409700 | US DEPT OF LABOR OWCP | ||
| Q66831 | NY | EMPIRE BLUE CROSS/EMPIRE | |
| 141733498 | NY | EMPIRE STATE PLAN GROUP | |
| GRP405998002 | NY | BLUE SHIELD OF NORTHEASTE | |
| 650005243 | RAILROAD MEDICARE | ||
| 819687 | NY | EMPIRE STATE PLAN | |
| 141733498 | NY | EXCELLUS BLUE CROSS BLUE | |
| P01010652 | NY | EXCELLUS |
Post Comment/ Review Below
What is the unique identifier code issued to Dorothea Burget Southwick by the Centers for Medicare & Medicaid Services?
The Dorothea Burget Southwick has been assigned the NPI (National Provider Identifier) 1689661092. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Dorothea Burget Southwick is physically located?
The Dorothea Burget Southwick is situated at the following address: Po Box 702, Champlain, NY 12919.
What is Dorothea Burget Southwick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dorothea Burget Southwick is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date was the 1689661092 assigned to Dorothea Burget Southwick?
The Dorothea Burget Southwick was issued its 1689661092 on 2005-09-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Dorothea Burget Southwick's information last updated?
The Dorothea Burget Southwick's information was last updated on 2016-12-01.