Provider Demographics
NPI:1245211622
Name:FERRARI, TAMMY A (DPT, MSPT)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:A
Last Name:FERRARI
Suffix:
Gender:F
Credentials:DPT, MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 NORTH STREET
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550
Mailing Address - Country:US
Mailing Address - Phone:845-565-5054
Mailing Address - Fax:845-565-4071
Practice Address - Street 1:260 NORTH STREET
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550
Practice Address - Country:US
Practice Address - Phone:845-565-5054
Practice Address - Fax:845-565-4071
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025922225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3285703OtherOXFORD
2224281OtherCCN
Q09S4OtherBLUE CROSS BLUE SHIELD
370200OtherMVP
2444225OtherUNITED HEALTH CARE
7263568OtherAETNA PPO
99442OtherOPERTING ENGNRS LCL 825
0004715400001OtherHEALTH NOW
839811OtherMANAGED PHYSICAL NETWORK
3538861OtherAETNA HMO
10086261OtherCDPHP
99442OtherOPERTING ENGNRS LCL 825