| Core Performance Physical Therapy Pllc | |
|
27482 State Highway 23, Stamford, NY 12167-1868 | |
| (607) 652-2140 | |
| Not Available |
| Full Name | Core Performance Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 27482 State Highway 23, Stamford, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063138287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225200000X | Physical Therapy Assistant | (NU) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (NU) | Primary |
| Provider Name | Amy S Manning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639131170 PECOS PAC ID: 3678470002 Enrollment ID: I20031215000637 |
| Provider Name | Candace H. Burghardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316908379 PECOS PAC ID: 6507850807 Enrollment ID: I20040410000096 |
| Provider Name | Michael Oeser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548679772 PECOS PAC ID: 7517287923 Enrollment ID: I20150527001314 |
| Provider Name | Christy Mary Traglia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760048789 PECOS PAC ID: 9931590825 Enrollment ID: I20220104001172 |
| Mailing Address | Practice Location Address |
|---|---|
| Core Performance Physical Therapy Pllc 27482 State Highway 23, Stamford, NY 12167-1868 Ph: Not Available | Core Performance Physical Therapy Pllc 27482 State Highway 23, Stamford, NY 12167-1868 Ph: (607) 652-2140 |