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PUTNAM PHYSICAL MEDICINE & REHABILITATION PC
NPI 1851454847
Neuromusculoskeletal Medicine, Sports Medicine in Mahopac, NY

Active since December 19, 2006
880 S LAKE BLVD STE 201, MAHOPAC, NY 10541(845) 628-4400 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2016, Jul 12, 2016, Jun 21, 2016 (3 updates tracked since 2016).

About Putnam Physical Medicine & Rehabilitation Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUTNAM PHYSICAL MEDICINE & REHABILITATION PC (NPI 1851454847) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Mahopac, New York and active in the NPI registry since December 2006. The organization lists Lorelei Davidson, President, as its authorized official.

NPPES Registry Identity

NPI1851454847
Entity TypeOrganization
Primary Taxonomy204C00000X
Legal Business NamePUTNAM PHYSICAL MEDICINE & REHABILITATION PC
Location Address880 S LAKE BLVD STE 201Mahopac, NY 10541-4771
Mailing Address880 S Lake Blvd Ste 201Mahopac, NY 10541-4771 · (845) 628-4400
Phone(845) 628-4400
Organization SubpartNo
Authorized OfficialLorelei DavidsonPresident · (845) 628-2004
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 30, 20163 updates tracked since enumeration
✔ NPI 1851454847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License✔ Licensed in NY · 206144
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
880 S LAKE BLVD STE 201, Mahopac, NY 10541
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Other Identifiers 2

Medicare UPING45481NY
Medicare ID-Type Unspecified1205883857NY · Npi (ind)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Putnam Physical Medicine & Rehabilitation PC's NPI number?

The NPI number for Putnam Physical Medicine & Rehabilitation PC is 1851454847. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Putnam Physical Medicine & Rehabilitation PC located?

Putnam Physical Medicine & Rehabilitation PC is located at 880 S Lake Blvd Ste 201, Mahopac, NY 10541. The listed phone number is (845) 628-4400.

What is Putnam Physical Medicine & Rehabilitation PC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Putnam Physical Medicine & Rehabilitation PC was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.