Provider Demographics
NPI:1164642898
Name:NEW BEGINNINGS PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:NEW BEGINNINGS PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:CLOUTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT, CSCS
Authorized Official - Phone:917-575-0422
Mailing Address - Street 1:29 LIVINGSTON AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-2838
Mailing Address - Country:US
Mailing Address - Phone:914-478-6344
Mailing Address - Fax:
Practice Address - Street 1:8 N AQUEDUCT LN
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-1735
Practice Address - Country:US
Practice Address - Phone:914-591-4441
Practice Address - Fax:914-591-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0236531261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy