Provider Demographics
NPI:1477562544
Name:THE PILATES, THERAPY AND WELLNESS CENTER OF WESTCHESTER
Entity Type:Organization
Organization Name:THE PILATES, THERAPY AND WELLNESS CENTER OF WESTCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ELLSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:914-725-2170
Mailing Address - Street 1:15 HARWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4103
Mailing Address - Country:US
Mailing Address - Phone:914-725-2170
Mailing Address - Fax:914-725-1480
Practice Address - Street 1:15 HARWOOD CT
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4103
Practice Address - Country:US
Practice Address - Phone:914-725-2170
Practice Address - Fax:914-725-1480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025748261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherFED TAX ID NUMBER