IndividualActive
Erin Favret, PTA
NPI 1104083013 · Physical Therapy Assistant · Fort Drum, NY
Provider details
- NPI number
- 1104083013
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 006333 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11050 Mt Belvedere Blvd
USA Meddac/Credentials
Fort Drum, NY 13602-5004
Phone: (315) 772-4025
Fax: (315) 772-9498
Approximate (ZIP-level) locationGet directions
Mailing address
11050 Mt Belvedere Blvd
Fort Drum, NY 13602-5438
Registry dates
- Enumerated
- 2008-05-19
- Last updated
- 2013-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.