Provider Demographics
NPI:1184688418
Name:DODD, AMY (PT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:DODD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:BURRITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:7 WELLS ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-1200
Mailing Address - Country:US
Mailing Address - Phone:518-587-0637
Mailing Address - Fax:518-587-2515
Practice Address - Street 1:7 WELLS ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-1200
Practice Address - Country:US
Practice Address - Phone:518-587-0637
Practice Address - Fax:518-587-2515
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4635893OtherAETNA PPO
NY43841OtherMVP
NY10028414OtherCDPHP
NY2594892OtherAETNA HMO
NY000405911001OtherBLUE SHIELD OF NORTHEASTE
NYQ24081OtherEMPIRE BLUE CROSS
NYBB6396Medicare ID - Type UnspecifiedMEDICARE
NY2594892OtherAETNA HMO