Provider Demographics
NPI:1467635136
Name:COWELL, GARRY (DPT)
Entity Type:Individual
Prefix:MR
First Name:GARRY
Middle Name:
Last Name:COWELL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2175
Mailing Address - Country:US
Mailing Address - Phone:631-728-6377
Mailing Address - Fax:631-728-6922
Practice Address - Street 1:323 E 90TH ST
Practice Address - Street 2:APT 1RW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-5289
Practice Address - Country:US
Practice Address - Phone:631-728-6377
Practice Address - Fax:631-728-6922
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251N0400X
NY0299312251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1215159355OtherGROUP NPI #