Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northwoods Wellness Physical & Occupational Therapy, PLLC

Organization Physical Therapist · NPI 1003099078

Northwoods Wellness Physical & Occupational Therapy, PLLC is a Physical Therapist in Ticonderoga, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 Montcalm St Northwoods Wellness Physical & Occupational Therapy P
Ticonderoga, NY 12883-1353
Phone: (518) 585-9285
Fax: (518) 585-9286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 007563-1 (NY)
Physical Therapist Taxonomy 225100000X · Licence 014005-1 (NY)
Physical Therapist Taxonomy 225100000X · Licence 027321-1 (NY)

Record details

NPI number1003099078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Bazan — Owner And Occupational Therapist · (518) 585-9285
NPI enumeratedDecember 12, 2007
Last updated in NPPESJune 12, 2008
Mailing address106 Montcalm St, Northwoods Wellness Physical & Occupational Therapy, P., Ticonderoga, NY 12883-1353

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