NPIMap

Organization Active NPI

Physiofitness P.T., P.C.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1063684629
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0120881 Issued in NY
Legal business name
PHYSIOFITNESS P.T., P.C.
Practice address
584 Broadway
Suite 710
New York, NY 10012-3229
Phone
(212) 941-0503
Fax
(212) 941-6195
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Mr. Christopher W. Delehanty, P.T.NPI 1427151976
Title
Owner/Director
Phone
(212) 941-0503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0120881 NY Primary

Addresses

Primary practice location

584 Broadway
Suite 710
New York, NY 10012-3229

Mailing address

584 Broadway
Suite 710
New York, NY 10012-3229
Phone (212) 941-0503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080513000674 NY Part B Supplier - Clinic/Group Practice 8921177296 Receives reassigned benefits from 7 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

588 Broadway
Rm 710
New York, NY 10012
Phone (212) 941-0503

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1063684629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 BROADWAY",
            "address_2": "SUITE 710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123229",
            "telephone_number": "212-941-0503",
            "fax_number": "212-941-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BROADWAY",
            "address_2": "SUITE 710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123229",
            "telephone_number": "212-941-0503",
            "fax_number": "212-941-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOFITNESS P.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "DELEHANTY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "212-941-0503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0120881",
            "primary": true
        }
    ],
    "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 Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.