Organization Active NPI

All Riverdale Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1023314093
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
008557 Issued in NY
Legal business name
ALL RIVERDALE PHYSICAL THERAPY, PC
Practice address
3424 Kingsbridge Ave Apt 1H
Bronx, NY 10463-4002
Phone
(718) 884-2460
Fax
(888) 543-7447
NPI assigned
Feb 8, 2011
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Dionisio MauroNPI 1972688018
Title
President
Phone
(718) 884-8248

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 008557 NY Primary

Addresses

Primary practice location

3424 Kingsbridge Ave Apt 1H
Bronx, NY 10463-4002

Mailing address

444 W 259TH St Apt 1
Bronx, NY 10471-1622
Phone (718) 884-4260

Other practice location 1

444 W 259th St Apt 1
Bronx, NY 10471-1622
Phone (718) 884-4260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000285 NY Part B Supplier - Clinic/Group Practice 1254516743 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY; New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1023314093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W 259TH ST APT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711622",
            "telephone_number": "718-884-4260",
            "fax_number": "888-543-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 KINGSBRIDGE AVE APT 1H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634002",
            "telephone_number": "718-884-2460",
            "fax_number": "888-543-7447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 W 259th St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104711622",
            "country_code": "US",
            "telephone_number": "718-884-4260",
            "fax_number": "888-543-7447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALL RIVERDALE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "DIONISIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-884-8248"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "008557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.