Individual provider Active NPI

Gregory Stemkowski, M.S. P.T.

  • Physical Therapist
  • Blauvelt, NY
National Provider Identifier
1053474973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018525-1 Issued in NY
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

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 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

Enrollment IDStateProvider typePAC IDDetails
I20231009000090 CT Practitioner - Physical Therapist in Private Practice 8729990452 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
018525-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Orthopedic and Sports Physical Therapy Physical Therapist CurrentSince Mar 28, 2023 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.

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.

Verify at the official NPI Registry.