Basic Information
| Provider Information | |||||||||
| NPI: | 1225079221 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LARKIN | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | STRICKLAND | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | PT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | STRICKLAND | ||||||||
| OtherFirstName: | PATRICIA | ||||||||
| OtherMiddleName: | ADELE | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | PT | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 190 GOLDENS BRIDGE ROAD | ||||||||
| Address2: | KATONAH PHYSICAL THERAPY PC | ||||||||
| City: | KATONAH | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105362804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142323306 | ||||||||
| FaxNumber: | 9142324862 | ||||||||
| Practice Location | |||||||||
| Address1: | 190 GOLDENS BRIDGE ROAD | ||||||||
| Address2: | KATONAH PHYSICAL THERAPY PC | ||||||||
| City: | KATONAH | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105362804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142323306 | ||||||||
| FaxNumber: | 9142324862 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 0024301 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 01161224 | 05 | NY | MEDICAID |