Provider Demographics
NPI:1194860650
Name:BEAR MOUNTAIN PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:BEAR MOUNTAIN PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PT
Authorized Official - Phone:914-737-2701
Mailing Address - Street 1:24 OLD ALBANY POST RD
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1137
Mailing Address - Country:US
Mailing Address - Phone:914-737-2701
Mailing Address - Fax:914-737-3968
Practice Address - Street 1:24 OLD ALBANY POST RD
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-1137
Practice Address - Country:US
Practice Address - Phone:914-737-2701
Practice Address - Fax:914-737-3968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A2670293OtherOXFORD
5C7137OtherHEALTH NET
A2670293OtherOXFORD