NPIMap

Organization Active NPI

Vivian Nussbaum & Linda Oberon PTRS

  • Physical Therapist
  • New York, NY
National Provider Identifier
1134218522
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4500-1 Issued in NY
Legal business name
VIVIAN NUSSBAUM & LINDA OBERON PTRS
Practice address
250 W 93Rd St
Lower Level
New York, NY 10025-7391
Phone
(212) 580-0125
Fax
(212) 580-0860
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Lindi Oberon, PT
Title
Owner/Director
Phone
(212) 580-0125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4500-1 NY Primary

Addresses

Primary practice location

250 W 93Rd St
Lower Level
New York, NY 10025-7391

Mailing address

250 W 93Rd St
Lower Level
New York, NY 10025-7391
Phone (212) 580-0125

Other identifiers 1

IdentifierTypeStateIssuer
ANC734OtherNYOXFORD

Other names 1

  • RIVERSIDE PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1134218522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 93RD ST",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257391",
            "telephone_number": "212-580-0125",
            "fax_number": "212-580-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 93RD ST",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257391",
            "telephone_number": "212-580-0125",
            "fax_number": "212-580-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN NUSSBAUM & LINDA OBERON PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "OBERON",
        "authorized_official_first_name": "LINDI",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "212-580-0125",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "4500-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC734",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 18, 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.

Verify at the official NPI Registry.