Stephen R Booth in Gouverneur - Physical Therapist
Stephen R Booth - NPI 1346221876
Stephen R Booth is a Physical Therapist in Gouverneur, New York. Stephen R Booth practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stephen R Booth is 1346221876. The last update date is 2007-07-08.
Stephen R Booth's current location address is 77 W Barney St, Gouverneur, New York. You can contact this provider via phone number 3155359202 and fax number 3155359207. The mailing address for Stephen R Booth is 77 W Barney St, Gouverneur, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen R Booth |
|---|---|
| Address | 77 W Barney St, Gouverneur, New York |
| Phone Number | 3155359202 |
| Fax Number | 3155359207 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346221876 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 77 W Barney St |
|---|---|
| City | Gouverneur |
| State | New York (NY) |
| Post Code | 136421040 |
| Phone Number | 3155359202 |
| Fax Number | 3155359207 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 4584 |
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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 |
|---|---|---|---|
| 4584 | NY | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephen R Booth by the Centers for Medicare & Medicaid Services?
The Stephen R Booth has been issued the NPI (National Provider Identifier) 1346221876, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stephen R Booth?
The Stephen R Booth is situated at 77 W Barney St, in the city of Gouverneur, state of NY, with the zip code 136421040.
What is the Stephen R Booth's area of specialization and corresponding taxonomy classification?
The Stephen R Booth'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 Stephen R Booth receive its 1346221876 assignment from the Centers for Medicare & Medicaid Services?
The Stephen R Booth was assigned its 1346221876 by the Centers for Medicare & Medicaid Services on 2005-11-10.
When was the Stephen R Booth's information last updated?
The Stephen R Booth's information was last updated on 2007-07-08.