Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Northwoods Wellness Physical & Occupational Therapy, PLLC

Organization Physical Therapist · NPI 1003099078

Northwoods Wellness Physical & Occupational Therapy, PLLC provides Physical Therapist services 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 Not confirmed with CMS for 18 years — call before visiting
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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