NPIMap

Organization Active NPI

Advantage Physical & Occupational Therapy PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1023164282
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANTAGE PHYSICAL & OCCUPATIONAL THERAPY PLLC
Practice address
534 W 112TH St # 872
New York, NY 10025-9721
Phone
(917) 716-5392
Fax
(212) 820-9773
NPI assigned
Jan 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Robin Hope Stoller, PTNPI 1760538920
Title
Owner
Phone
(646) 960-2006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

534 W 112TH St # 872
New York, NY 10025-9721

Mailing address

534 W 112TH St # 872
New York, NY 10025-9721
Phone (917) 716-5392

Other identifiers 3

IdentifierTypeStateIssuer
N81820OtherNYHEALTH NET ID
1125744OtherEMBLEM
P2967582OtherNYOXFORD HEALTH PLANS ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhspt@live.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110228000277 NY Part B Supplier - Clinic/Group Practice 4082895867 Receives reassigned benefits from 9 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

534 W 112th St
Unit 250872
New York, NY 10025
Phone (516) 368-2829

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1023164282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 W 112TH ST # 872",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100259721",
            "telephone_number": "917-716-5392",
            "fax_number": "212-820-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 W 112TH ST # 872",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100259721",
            "telephone_number": "917-716-5392",
            "fax_number": "212-820-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHYSICAL & OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "STOLLER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-960-2006",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID",
            "identifier": "N81820",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMBLEM",
            "identifier": "1125744",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS ID",
            "identifier": "P2967582",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhspt@live.com",
            "affiliation": "N",
            "endpointDescription": "rhspt@live.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "534 W 112th St # 872",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100259721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.