National Provider Identifier
Chautauqua PT Ot & Slp Professionals PLLC
Chautauqua PT Ot & Slp Professionals PLLC is listed in the NPPES registry with a primary specialty of Specialist in Jamestown, NY and a listed phone number of (716) 488-2322.
Source: public NPPES record, last updated March 21, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1710910690
- Provider Type
- Organization
- Primary Specialty
- Specialist
- Enumeration Date
- July 07, 2006
- Last Updated
- March 21, 2012
Practice Location
- 15 S Main St
- Suite 220
- Jamestown, NY 14701-6626
Phone: (716) 488-2322
Authorized Official
- Name
- Mr. Patrtick E Green
- Title
- Owner
- Credentials
- MS, PT, CERT, MDT
- Phone
- (716) 488-2322
Specialties
- Specialist (174400000X)
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Organization Overview
Chautauqua PT OT & SLP Professionals PLLC is a Jamestown, New York rehabilitation practice operating as Chautauqua Physical and Occupational Therapy within TCC Health/The Chautauqua Center’s care network. The organization provides physical therapy and pediatric therapy services for the Chautauqua County community, and The Chautauqua Center describes itself as a nonprofit Federally Qualified Health Center serving Chautauqua County and surrounding areas. New York State also lists the Jamestown Chautauqua PT/OT site among The Chautauqua Center’s extension clinics.
Full Record
- NPI
- 1710910690
- Entity Type
- Organization
- Organization Name
- Chautauqua PT Ot & Slp Professionals PLLC
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 15 S Main St
- Mailing Address Line 2
- Suite 220
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6626
- Mailing Country
- US
- Mailing Phone
- (716) 488-2322
- Mailing Fax
- (716) 488-2574
- Practice Street Address
- 15 S Main St
- Practice Address Line 2
- Suite 220
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6626
- Practice Country
- US
- Practice Phone
- (716) 488-2322
- Practice Fax
- (716) 488-2574
- Enumeration Date
- July 07, 2006
- Last Updated
- March 21, 2012
- Authorized Official Last Name
- Green
- Authorized Official First Name
- Patrtick
- Authorized Official Middle Name
- E
- Authorized Official Title
- Owner
- Authorized Official Phone
- (716) 488-2322
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Credential Text
- MS, PT, CERT, MDT
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomies
- Specialist (174400000X)