Active NPIIndividual providerSole proprietor

Penda Archer

Physical Therapist in Mount Vernon, New York

NPI Number1306104054
Practice location
15 Nuvern Ave, Mount Vernon, NY 10550-4818
Fax
—
Last updated
May 1, 2012

Penda Archer is a Physical Therapist based in Mount Vernon, NY. Penda Archer practices in Mount Vernon, NY. The NPI Number for Penda Archer is 1306104054 and holds a License No. 033426 (NY). The current practice location address for Penda Archer is 15 Nuvern Ave, Mount Vernon, NY 10550-4818 and can be reached out via phone at 914-572-7725.

Provider Profile Details

NPI Number
1306104054
Provider Name
Penda Archer
Provider Entity Type
Individual
Gender
Female
Address
15 Nuvern Ave, Mount Vernon, NY 10550-4818
Phone Number
914-572-7725
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 1, 2012
Last Update Date
May 1, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Nuvern Ave
Mount Vernon, NY 10550-4818
Zip
10550-4818
Phone Number
914-572-7725
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
15 Nuvern Ave
Mount Vernon, NY 10550-4818
City
Mount Vernon
State
NY
Zip
10550-4818
Phone Number
914-572-7725

License Information

License Number
033426
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 Penda Archer?

The NPI number of Penda Archer is 1306104054. It was assigned on May 1, 2012 and is currently active in the NPPES registry.

What is the specialty of Penda Archer?

Penda Archer is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 033426.

Where does Penda Archer practice?

The practice location is 15 Nuvern Ave, Mount Vernon, NY 10550-4818. The office can be reached at 914-572-7725 (phone).

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 1306104054 directly on the NPPES registry website.

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