Individual provider Active NPI

Mitchell Stuart Spiegel, PT

  • Physical Therapist
  • New City, NY
National Provider Identifier
1033245246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011213 Issued in NY
Practice address
260 N Little Tor Rd
New City, NY 10956-2627
Phone
(845) 634-4648
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 011213 NY Primary

Addresses

Primary practice location

260 N Little Tor Rd
New City, NY 10956-2627

Mailing address

9 Flitt St
West Nyack, NY 10994-2308
Phone (845) 627-0494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130916000784 NY Practitioner - Physical Therapist in Private Practice 6103060041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jawonio IncGroup PAC ID 8628227683, 12 clinicians

Practice addresses (Care Compare)

260 N Little Tor Rd
New City, NY 10956-2627
Phone (845) 708-2000

775 N Main St
Jawonio D and T Center
New Hempstead, NY 10977-8968
Phone (845) 708-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011213NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jawonio Inc CurrentSince Sep 1, 2013 Accepting new patients
Jawonio Inc Current Accepting new patients
Jawonio Inc CurrentSince Sep 1, 2013 Accepting new patients

Locations

260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648

775 N Main St
#D
Spring Valley, NY 10977
Phone (845) 708-2000

Networks

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

Organizations & group practices 3

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": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033245246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FLITT ST",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942308",
            "telephone_number": "845-627-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N LITTLE TOR RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562627",
            "telephone_number": "845-634-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEGEL",
        "first_name": "MITCHELL",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.