Individual provider Active NPI

David Spielvogel

  • Physical Therapist
  • Ardsley, NY
National Provider Identifier
1003690579
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051093 Issued in NY
Practice address
15 Center St # 1
Ardsley, NY 10502-1805
Phone
(914) 488-5763
NPI assigned
Aug 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 051093 NY Primary

Addresses

Primary practice location

15 Center St # 1
Ardsley, NY 10502-1805

Mailing address

5 Mount Joy Ave
Scarsdale, NY 10583-2632
Phone (914) 522-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918003809 NY Practitioner - Physical Therapist in Private Practice 8224492665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jr Physical Therapy Dobbs Ferry PLLCGroup PAC ID 1456692375, 5 clinicians

Practice addresses (Care Compare)

15 Ctr St
Ardsley, NY 10502-1805
Phone (914) 376-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J.R. Physical Therapy Dobbs Ferry PLLC Physical Therapist CurrentSince Aug 6, 2023 Accepting new patients

Locations

15 Center St
#1
Ardsley, NY 10502
Phone (914) 488-5763

15 Center St
Ardsley, NY 10502

15 Center St
Ste 1
Ardsley, NY 10502
Phone (914) 488-5763

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1003690579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNT JOY AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105832632",
            "telephone_number": "914-522-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CENTER ST # 1",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021805",
            "telephone_number": "914-488-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELVOGEL",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.