Procore Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

018525-1 Issued in NY

Legal business name

PROCORE PHYSICAL THERAPY P.C.

Practice address

430 Nanuet Mall S
Nanuet, NY 10954-2710

Phone

(845) 589-0556

Fax

(845) 589-0558

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Gregory Stemkowski, MS, PT

Title

President/Physical Therapist

Phone

(845) 268-7800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Patrick Fahy, DPT

  • Orthopedic Physical Therapist
  • Valley Cottage, NY
  • NPI 1205069259
  NPD (past)

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1013219047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY",
            "address_2": "SUITE 7",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892021",
            "telephone_number": "845-268-7800",
            "fax_number": "845-268-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NANUET MALL S",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542710",
            "telephone_number": "845-589-0556",
            "fax_number": "845-589-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCORE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "STEMKOWSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-268-7800",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "018525-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dijanaise Pollock
• Elina Polyakov, LCSW
• Richard L Popowitz, MD
• Yeva Posner, RN, IBCLC
• Joanne Pritzlaff, OTR
• Progressive Rehabilitation Physical Therapy
• Progressive Rehabilitation Physical Therapy PLLC
• Alma Prunty
• Douglas R Puder, MD
• Pulmonary Medical Care PLLC

• Physical Therapy Clinic/Center in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.