Active NPIIndividual provider

Jill Petry, PT

Physical Therapist in Goshen, New York

NPI Number1033361894
Practice location
30 Hatfield Ln, Suite 201, Goshen, NY 10924-6766
Fax
845-294-9497
Last updated
October 10, 2008

Jill Petry is a Physical Therapist based in Goshen, NY. Jill Petry practices in Goshen, NY and has the professional credentials of PT. The NPI Number for Jill Petry is 1033361894 and holds a License No. 028008 (NY). The current practice location address for Jill Petry is 30 Hatfield Ln, Suite 201, Goshen, NY 10924-6766 and can be reached out via phone at 845-294-0779 and via fax at 845-294-9497.

Provider Profile Details

NPI Number
1033361894
Provider Name
Jill Petry
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
30 Hatfield Ln, Suite 201, Goshen, NY 10924-6766
Phone Number
845-294-0779
Fax Number
845-294-9497
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
October 10, 2008
Last Update Date
October 10, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Hatfield Ln
Suite 201
Goshen, NY 10924-6766
City
Goshen
Zip
10924-6766
Phone Number
845-294-0779
Fax Number
845-294-9497
Goshen, NY 10924Get directions →

Provider Business Mailing Address Details

Address
39 Old Monticello Road
Ferndale, NY 12734
City
Ferndale
State
NY
Zip
12734
Phone Number
845-292-1624
Fax Number
845-292-1650

License Information

License Number
028008
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jill Petry, PT?

The NPI number of Jill Petry, PT is 1033361894. It was assigned on October 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Jill Petry, PT?

Jill Petry, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 028008.

Where does Jill Petry, PT practice?

The practice location is 30 Hatfield Ln, Suite 201, Goshen, NY 10924-6766. The office can be reached at 845-294-0779 (phone) or 845-294-9497 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033361894 directly on the NPPES registry website.

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