Active NPI
Gregory Paul Rakowski, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1053578187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0141941
- 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, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 014194 | NY | MD | Mental Health Counselor |
| 0141941 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapist
- Monsey, NY
- NPI 1437561065
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- Specialist
- Airmont, NY
- NPI 1346257979
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
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.