NPIMap

Organization Active NPI

Sportscare Physical Therapy of Ny, P.C.

  • Physical Therapist
  • West Nyack, NY
National Provider Identifier
1003098138
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016861-1 Issued in NY
Legal business name
SPORTSCARE PHYSICAL THERAPY OF NY, P.C.
Practice address
2 Crosfield Ave Ste 101
West Nyack, NY 10994-2233
Phone
(845) 358-8989
Fax
(845) 358-8985
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth A Lantigua
Title
Billing Administrator
Phone
(973) 887-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 016861-1 NY Primary

Addresses

Primary practice location

2 Crosfield Ave Ste 101
West Nyack, NY 10994-2233

Mailing address

11 Eagle Rock Ave
2ND Floor
East Hanover, NJ 07936-3101
Phone (973) 887-9000

Other practice location 1

11 Eagle Rock Ave
2nd Floor
East Hanover, NJ 07936-3101
Phone (973) 887-9000 ext. 317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080303000031 NY Part B Supplier - Clinic/Group Practice 8123102092 Receives reassigned benefits from 34 practitioners
Practice locations: Nanuet, NY; New York, NY; Spring Valley, NY; West Nyack, NY; White Plains, NY
O20240620002589 NY DME Supplier - Multi-Specialty - Physician 8123102092 Practice locations: West Nyack, NY

National Provider Directory

National Provider Directory

Locations

410 Airport Executive Park
Nanuet, NY 10954
Phone (845) 356-2020

24 W 57th St
Ste 509
New York, NY 10019
Phone (212) 707-8999

22 W 48th St
Fl 15
New York, NY 10036
Phone (212) 302-1112

24 W 57th St
New York, NY 10019

22 W 48th St
New York, NY 10036
Phone (212) 302-1112

2 Crosfield Ave
Ste 101
West Nyack, NY 10994
Phone (845) 358-8989

311 North St
Ste 304
White Plains, NY 10605
Phone (914) 448-4777

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 45

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1003098138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "address_2": "2ND FLOOR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363101",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE STE 101",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942233",
            "telephone_number": "845-358-8989",
            "fax_number": "845-358-8985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Eagle Rock Ave",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "East Hanover",
            "state": "NJ",
            "postal_code": "079363101",
            "country_code": "US",
            "telephone_number": "973-887-9000 x317",
            "fax_number": "973-887-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTSCARE PHYSICAL THERAPY OF NY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "LANTIGUA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "973-887-9000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016861-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.