Provider Demographics
NPI:1982843215
Name:CAPLAN, ELLEN REBECCA (PT)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:REBECCA
Last Name:CAPLAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:ELLEN
Other - Middle Name:REBECCA
Other - Last Name:CAPLAN-GOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:22 PEARSALL DRIVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950
Mailing Address - Country:US
Mailing Address - Phone:914-552-2988
Mailing Address - Fax:
Practice Address - Street 1:585 AVALON GARDENS DRIVE
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954
Practice Address - Country:US
Practice Address - Phone:845-290-6854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022638-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics