NPIMap

Organization Active NPI

Outcome Physical Therapy, PLLC

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1114208311
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OUTCOME PHYSICAL THERAPY, PLLC
Practice address
3765 Riverdale Avenue
Suite 5
Bronx, NY 10463
Phone
(718) 543-3181
Fax
(718) 543-3201
NPI assigned
Aug 31, 2011
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Mr. Crispin De Joya De GuzmanNPI 1932372844
Title
Co-Owner
Phone
(718) 543-3181

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 Therapist 225100000X Primary

Addresses

Primary practice location

3765 Riverdale Avenue
Suite 5
Bronx, NY 10463

Mailing address

3765 Riverdale Avenue
Suite 5
Bronx, NY 10463
Phone (718) 543-3181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111024000437 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719150564 Receives reassigned benefits from 4 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1114208311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVENUE",
            "address_2": "SUITE 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-543-3181",
            "fax_number": "718-543-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVENUE",
            "address_2": "SUITE 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-543-3181",
            "fax_number": "718-543-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTCOME PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "CRISPIN",
        "authorized_official_middle_name": "DE JOYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "718-543-3181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.