Provider Demographics
NPI:1750344545
Name:DUXBURY, HELEN (PT)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:DUXBURY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 GENUNG RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-9605
Mailing Address - Country:US
Mailing Address - Phone:607-273-4371
Mailing Address - Fax:
Practice Address - Street 1:FADDEN & ASSOCIATES PHYSICAL THERAPY, PLLC
Practice Address - Street 2:242 PORT WATSON STREET
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045
Practice Address - Country:US
Practice Address - Phone:607-758-7212
Practice Address - Fax:607-758-3416
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015215225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5052515OtherAETNA US HEALTHCARE
NY000013850OtherEXCELLUS BCBS
NY4123841OtherMVP
NY000013850OtherEXCELLUS BCBS
NYRA9155Medicare PIN