- Practice location
- 30 Hatfield Ln Ste 203, Goshen, NY 10924-6768
- Phone
- 845-615-2222
- Fax
- 845-615-2224
- Last updated
- March 3, 2021
Thomas Mattingly Mirra is a Physical Therapist based in Goshen, NY. Thomas Mattingly Mirra practices in Goshen, NY and has the professional credentials of DPT. The NPI Number for Thomas Mattingly Mirra is 1225623119 and holds a License No. 046158 (NY). The current practice location address for Thomas Mattingly Mirra is 30 Hatfield Ln Ste 203, Goshen, NY 10924-6768 and can be reached out via phone at 845-615-2222 and via fax at 845-615-2224.
Provider Profile Details
- NPI Number
- 1225623119
- Provider Name
- Thomas Mattingly Mirra
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 30 Hatfield Ln Ste 203, Goshen, NY 10924-6768
- Phone Number
- 845-615-2222
- Fax Number
- 845-615-2224
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 3, 2021
- Last Update Date
- March 3, 2021
- Certification Date
- March 3, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Hatfield Ln Ste 203
Goshen, NY 10924-6768 - City
- Goshen
- State
- New York
- Zip
- 10924-6768
- Phone Number
- 845-615-2222
- Fax Number
- 845-615-2224
Provider Business Mailing Address Details
- Address
- 16 Maybrook RD
Campbell Hall, NY 10916-2743 - City
- Campbell Hall
- State
- NY
- Zip
- 10916-2743
- Phone Number
- 845-636-4344
- Fax Number
- 845-636-4355
License Information
- License Number
- 046158
- License State
- NY
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Thomas M Mirra, DPT?
The NPI number of Thomas M Mirra, DPT is 1225623119. It was assigned on March 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Thomas M Mirra, DPT?
Thomas M Mirra, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 046158.
Where does Thomas M Mirra, DPT practice?
The practice location is 30 Hatfield Ln Ste 203, Goshen, NY 10924-6768. The office can be reached at 845-615-2222 (phone) or 845-615-2224 (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 1225623119 directly on the NPPES registry website.