Provider Demographics
NPI:1457583551
Name:PARROTTA, RACHEL BETH (DPT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:BETH
Last Name:PARROTTA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:BETH
Other - Last Name:SCHNEIDERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1 HIGHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3644
Mailing Address - Country:US
Mailing Address - Phone:631-403-3179
Mailing Address - Fax:
Practice Address - Street 1:1 VILLAGE PLZ STE 204
Practice Address - Street 2:
Practice Address - City:KINGS PARK
Practice Address - State:NY
Practice Address - Zip Code:11754-2737
Practice Address - Country:US
Practice Address - Phone:631-403-3179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-23
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0015972255A2300X
NY030957225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer