Active NPI
Gregory Stemkowski, M.S. P.T.
- Physical Therapist
- Blauvelt, NY
National Provider Identifier
1053474973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018525-1
- Practice address
- 135 Erie St E
Blauvelt, NY 10913-1823 - Phone
- (845) 680-2673
- Fax
- (845) 680-2675
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018525-1 | NY | Primary |
Addresses
Primary practice location
135 Erie St E
Blauvelt, NY 10913-1823
Mailing address
517 N Broadway
Nyack, NY 10960-1215
Phone (845) 353-0147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9 Durant Ave
Bethel, CT 06801-1948
Phone (203) 826-9885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018525-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Orthopedic and Sports Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
9 Durant Ave
Bethel, CT 06801
Phone (203) 826-9885
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Redding, CT
- NPI 1326747544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053474973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 N BROADWAY",
"city": "NYACK",
"state": "NY",
"postal_code": "109601215",
"telephone_number": "845-353-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 ERIE ST E",
"city": "BLAUVELT",
"state": "NY",
"postal_code": "109131823",
"telephone_number": "845-680-2673",
"fax_number": "845-680-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEMKOWSKI",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "M.S. P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018525-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blauvelt, 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.