Individual provider Active NPI

Paul A. Zavodsky, P.T.

  • Physical Therapist
  • Newburgh, NY
National Provider Identifier
1013978774
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027073 Issued in NY
Practice address
15 Racquet Rd
Suite 2
Newburgh, NY 12550-5705
Phone
(845) 567-9462
Fax
(845) 567-9493
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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 027073 NY Primary

Addresses

Primary practice location

15 Racquet Rd
Suite 2
Newburgh, NY 12550-5705

Mailing address

231 Walton St
Suite 200
Syracuse, NY 13202-1230
Phone (315) 478-0380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000011 NY Practitioner - Physical Therapist in Private Practice 9335176791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

20 Walnut St
Suite B
Montgomery, NY 12549-2261
Phone (845) 457-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027073NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access PT, OT, New York, PLLC Physical Therapist CurrentSince Aug 30, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Quest Physical Therapy Physical Therapist Past Accepting new patients
Fitness Forum Physical Therapy, PC Physical Therapist Past Accepting new patients
Fitness Forum Physical and Occupational Therapy, PLLC Physical Therapist Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

16 Maybrook Rd
Ste L
Campbell Hall, NY 10916

111 Maiden Ln
Kingston, NY 12401
Phone (845) 331-8590

20 Walnut St
Ste B
Montgomery, NY 12549
Phone (845) 457-5555

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 6

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1013978774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WALTON ST",
            "address_2": "SUITE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021230",
            "telephone_number": "315-478-0380",
            "fax_number": "315-478-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RACQUET RD",
            "address_2": "SUITE 2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505705",
            "telephone_number": "845-567-9462",
            "fax_number": "845-567-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVODSKY",
        "first_name": "PAUL",
        "middle_name": "A.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.