Provider Demographics
NPI:1710945241
Name:ROONEY, ELIZABETH WRIGHT (PT, DPT, CERT MDT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:WRIGHT
Last Name:ROONEY
Suffix:
Gender:F
Credentials:PT, DPT, CERT MDT
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:KATHRYN
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:62 E 88TH ST
Mailing Address - Street 2:LOWR LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1151
Mailing Address - Country:US
Mailing Address - Phone:646-824-5106
Mailing Address - Fax:
Practice Address - Street 1:17 E 82ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0337
Practice Address - Country:US
Practice Address - Phone:212-988-2501
Practice Address - Fax:212-988-2509
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist