Provider Demographics
NPI:1841895588
Name:BINGHAMTON PHYSICAL THERAPY, P.C.
Entity type:Organization
Organization Name:BINGHAMTON PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-648-4646
Mailing Address - Street 1:34 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-4704
Mailing Address - Country:US
Mailing Address - Phone:607-304-4546
Mailing Address - Fax:607-304-4547
Practice Address - Street 1:17 CHARLES ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-2484
Practice Address - Country:US
Practice Address - Phone:607-304-4546
Practice Address - Fax:607-304-4547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPT028098-2OtherNY WORKER'S COMPENSATION BOARD
NY12114105OtherCAQH
NY028098-1OtherNY DOCTORATE OF PHYSICAL THERAPY LICENSE #
NY1114165545OtherINDIVIDUAL PROVIDER NPI