Individual provider Active NPI

Gregory Paul Rakowski, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1053578187
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0141941 Issued in NY
Practice address
22 W 21St St
#400 - Sports Med at Chelsea
New York, NY 10010-6904
Phone
(914) 282-2559
Fax
(480) 287-8653
NPI assigned
May 16, 2008
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0141941 NY Primary
Orthopedic Physical Therapist 2251X0800X 0141941 NY

Addresses

Primary practice location

22 W 21St St
#400 - Sports Med at Chelsea
New York, NY 10010-6904

Mailing address

104 Yonkers Ave
Tuckahoe, NY 10707-3911
Phone (914) 282-2559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
014194NYMDMental Health Counselor
0141941NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Orthopedics and Sports Medicine PC Past Accepting new patients
Flowing Physical Therapy PLLC Physical Therapist Past Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1053578187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 YONKERS AVE",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107073911",
            "telephone_number": "914-282-2559",
            "fax_number": "480-287-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W 21ST ST",
            "address_2": "#400 - SPORTS MED AT CHELSEA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106904",
            "telephone_number": "914-282-2559",
            "fax_number": "480-287-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOWSKI",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0141941",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "0141941",
            "primary": false
        }
    ],
    "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 Jun 22, 2011; 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.