Provider Demographics
NPI:1952501355
Name:DOERR, HERBERT H (PT)
Entity Type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:H
Last Name:DOERR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:256 BEAR RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-1832
Mailing Address - Country:US
Mailing Address - Phone:914-774-2644
Mailing Address - Fax:914-741-2125
Practice Address - Street 1:256 BEAR RIDGE RD
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-1832
Practice Address - Country:US
Practice Address - Phone:914-774-2644
Practice Address - Fax:914-741-2125
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY009687-1225100000X, 2251E1200X, 2251X0800X
NJ40QA01229100225100000X
VA2305204876225100000X
PAPT018401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic