Organization Active NPI

Bodhizone for Human Performance & Sports Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1023610730
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BODHIZONE FOR HUMAN PERFORMANCE & SPORTS PHYSICAL THERAPY, P.C.
Practice address
1301 Avenue of the Americas
Paramount Wellness / Concourse Level
New York, NY 10019-6022
Phone
(347) 507-5877
Fax
(347) 507-5877
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Scott Adam Weiss, DPT ATC DMQNPI 1780611293
Title
Owner
Phone
(516) 375-9776

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 Primary

Addresses

Primary practice location

1301 Avenue of the Americas
Paramount Wellness / Concourse Level
New York, NY 10019-6022

Mailing address

1301 Avenue of the Americas
Paramount Wellness / Concourse Level
New York, NY 10019-6022
Phone (347) 507-5877

National Provider Directory

National Provider Directory

Locations

280 Madison Ave
Rm 810
New York, NY 10016
Phone (212) 529-5700

6 E 45th St
Fl 18
New York, NY 10017
Phone (212) 529-5700

Practitioners & affiliated clinicians

Practitioners 2

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": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1023610730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 AVENUE OF THE AMERICAS",
            "address_2": "PARAMOUNT WELLNESS / CONCOURSE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196022",
            "telephone_number": "347-507-5877",
            "fax_number": "347-507-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 AVENUE OF THE AMERICAS",
            "address_2": "PARAMOUNT WELLNESS / CONCOURSE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196022",
            "telephone_number": "347-507-5877",
            "fax_number": "347-507-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHIZONE FOR HUMAN PERFORMANCE & SPORTS PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-375-9776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT ATC DMQ"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 18, 2024; 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.