Active NPI
Celine Cruz
- Physical Therapist
- New York, NY
National Provider Identifier
1063752186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031719
- Practice address
- 61 Broadway RM 2824
New York, NY 10006-2816 - Phone
- (212) 981-1977
- NPI assigned
- Feb 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 031719 | NY | Primary |
Addresses
Primary practice location
61 Broadway RM 2824
New York, NY 10006-2816
Mailing address
61 Broadway RM 2824
New York, NY 10006-2816
Phone (212) 981-1977
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 |
|---|---|---|---|
| 031719 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfysio, LLC. | Past | Accepting new patients | |
| James a Kennedy Physical Therapist PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- New York, NY
- NPI 1790929016
-
- Case Management Agency
- New York, NY
- NPI 1265707780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1063752186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 BROADWAY RM 2824",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100062816",
"telephone_number": "212-981-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 BROADWAY RM 2824",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100062816",
"telephone_number": "212-981-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "CELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031719",
"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 Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.