Provider Demographics
NPI:1558823906
Name:CAREY, REBECCA STELLA ALEXANDER (DPT)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:STELLA ALEXANDER
Last Name:CAREY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:STELLA
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1015 VELASKO ROAD
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13207
Mailing Address - Country:US
Mailing Address - Phone:516-782-5441
Mailing Address - Fax:
Practice Address - Street 1:1015 VELASKO ROAD
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13207
Practice Address - Country:US
Practice Address - Phone:516-782-5441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044193225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist