PARK AVENUE PHYSICAL THERAPY SERVICES, PLLC , NPI 1134161839 — NEW YORK (NY)

NPI 1134161839

13+ Years Experience Organization

PARK AVENUE PHYSICAL THERAPY SERVICES, PLLC

06.10.2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1134161839
NPI NUMBER

About PARK AVENUE PHYSICAL THERAPY SERVICES, PLLC

PARK AVENUE PHYSICAL THERAPY SERVICES, PLLC is a provider established in NEW YORK, NY. The NPI number of PARK AVENUE PHYSICAL THERAPY SERVICES, PLLC is 1134161839 and was assigned on 06.10.2006. The practitioners primary taxonomy code is: 225100000X with license number: 018283-1 NY .

Mailing address

  • City: ENGLEWOOD CLIFFS
  • State: NJ
  • Postal code: 76321800
  • Phone: 2018168925
  • Fax: 2018168926
  • Address: 661 E PALISADE AVE

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1134161839
  • Phone : 2018168925
  • Fax : 2018168926
  • Postalcode : 100164348
  • Address : 15 PARK AVE

Additional identifiers

  • Identifier: MEDICAL LICENSE
  • Code / Type : 1 - other
  • Identifier state : NY
  • Identifier issuer: 018283-1

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Physical Therapist

  • Taxonomy code: 225100000X
  • License number: 018283-1
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy group: 193400000X SINGLE SPECIALTY GROUP.

Taxonomy description: (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT"s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.

Contacts:

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  • PARK AVENUE PHYSICAL THERAPY SERVICES, PLLC
  • Address : 15 PARK AVE
  • Region : NEW YORK, NY
  • NPI : 1134161839
  • Phone : 2018168925
  • Fax : 2018168926
  • Postalcode : 100164348

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 2018168925
  • Title or position : OWNER
  • Credentials : P.T.

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address15 PARK AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100164348
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2018168925
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2018168926
The fax number associated with the location address of the provider being identified.
NPI1134161839
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1225100000X
(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT"s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Provider Enumeration Date06.10.2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)PARK AVENUE PHYSICAL THERAPY SERVICES, PLLC
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address661 E PALISADE AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameENGLEWOOD CLIFFS
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNJ
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code76321800
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2018168925
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number2018168926
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameGARBER
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameDAVID
The first name of the authorized official
Authorized Official Title or PositionOWNER
The title or position of the authorized official
Authorized Official Credential TextP.T.
Authorized Official Credential Text
Authorized Official Telephone Number2018168925
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1225100000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Physical Therapist
(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT"s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Provider License Number 1018283-1
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1MEDICAL LICENSE
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1NY
Other Provider Identifier State #1
Other Provider Identifier Issuer 1018283-1
Other Provider Identifier Issuer #1
X

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