| Mr Ryan Alexander Doherty, | |
|
94 W Main St, Bay Shore, NY 11706-8365 | |
| (631) 983-3724 | |
| (631) 223-4765 |
| Full Name | Mr Ryan Alexander Doherty |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 5 Years |
| Location | 94 W Main St, Bay Shore, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861135139 | NPI | - | NPPES |
| 026682 | Other | NY | NEW YORK STATE OFFICE OF THE PROFESSIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 026682 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Occupational And Physical Therapy, Pllc | 3779873401 | 428 |
| Provider Name | Professional Occupational & Physical Therapy, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ryan Alexander Doherty, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5859 | Mr Ryan Alexander Doherty, 94 W Main St, Bay Shore, NY 11706-8365 Ph: (631) 983-3724 |
Andrea Passannante, OT, OTR/L, CDIS Occupational Therapist Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3400 | |
Alyssa Verron, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Perkal St, Bay Shore, NY 11706 Phone: 631-968-1252 | |
Brielle Theresa Mcgullam, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 W Main St Ste 202, Bay Shore, NY 11706 Phone: 631-206-3130 | |
Mrs. Susan L Gouldson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Avenue, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Natalia Magdalena Umanzor, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 W Main St, Bay Shore, NY 11706 Phone: 631-206-3130 Fax: 631-223-4865 | |
Lindsey Elizabeth Kertland, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Danielle Hartnett, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 W Main St Ste 202, Bay Shore, NY 11706 Phone: 631-206-3130 Fax: 631-206-3148 |