National Provider Identifier

Stephen Eugene Tolly, MPT, MS ATC

Stephen Eugene Tolly, MPT, MS ATC is listed in the NPPES registry with a primary specialty of Physical Therapist in Horseheads, NY and a listed phone number of (607) 973-8959.

NPI 1568012698Horseheads, NYPhysical Therapist

Profile Overview

NPI
1568012698
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 20, 2019
Last Updated
March 22, 2021

Practice Location

  • 3344 Chambers RD
  • Horseheads, NY 14845-1403

Phone: (607) 973-8959

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1699

Specialties

  • Physical Therapist (225100000X)
  • Physical Medicine & Rehabilitation Physician (208100000X)

Endpoints

  • stolly18085@direct-guthrie.org

    Direct Messaging Address | Direct | Horseheads, NY 14845

Full Record
NPI
1568012698
Entity Type
Individual
Last Name
Tolly
First Name
Stephen
Middle Name
Eugene
Credential
MPT, MS ATC
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1699
Mailing Country
US
Mailing Phone
(570) 888-5858
Practice Street Address
3344 Chambers RD
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-1403
Practice Country
US
Practice Phone
(607) 973-8959
Enumeration Date
September 20, 2019
Last Updated
March 22, 2021
Sex
Male
Sole Proprietor
No
Certification Date
March 19, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Medicine & Rehabilitation Physician (208100000X)