Larry Michael Gravante in Fayetteville - Physical Therapist
Larry Michael Gravante - NPI 1801825377
Larry Michael Gravante is a Physical Therapist in Fayetteville, New York. Larry Michael Gravante practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Larry Michael Gravante is 1801825377. The last update date is 2007-07-08.
Larry Michael Gravante's current location address is 510 Towne Dr, Fayetteville, New York. You can contact this provider via phone number 3156374747 and fax number 3156376711. The mailing address for Larry Michael Gravante is 510 Towne Dr, Fayetteville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Michael Gravante |
|---|---|
| Address | 510 Towne Dr, Fayetteville, New York |
| Phone Number | 3156374747 |
| Fax Number | 3156376711 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1801825377 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 510 Towne Dr |
|---|---|
| City | Fayetteville |
| State | New York (NY) |
| Post Code | 130661331 |
| Phone Number | 3156374747 |
| Fax Number | 3156376711 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 014297-1 |
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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 |
|---|---|---|---|
| 918366003 | NY | HEALTHNOW NY | |
| 5056028 | NY | AETNA |
Post Comment/ Review Below
What is the Larry Michael Gravante's 1801825377?
The Larry Michael Gravante's NPI (National Provider Identifier) Number is 1801825377. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry Michael Gravante's facilities are situated?
The facilities of Larry Michael Gravante are physically located at the following address: 510 Towne Dr, Fayetteville, NY, 130661331.
What is the Larry Michael Gravante's area of specialization and corresponding taxonomy classification?
The Larry Michael Gravante's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Larry Michael Gravante receive the assignment of its 1801825377 from the Centers for Medicare & Medicaid Services?
The Larry Michael Gravante was issued its 1801825377 by the Centers for Medicare & Medicaid Services on 2006-06-30.
When was the information regarding Larry Michael Gravante most recently updated?
The details pertaining to the Larry Michael Gravante, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.