Individual provider Active NPI

Stacey Rittenberg, PT

  • Physical Therapist
  • New Rochelle, NY
National Provider Identifier
1134242597
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018374-1 Issued in NY
Practice address
27 Leslie PL
New Rochelle, NY 10804-1214
Phone
(914) 522-7997
Fax
(914) 560-2302
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 018374-1 NY Primary

Addresses

Primary practice location

27 Leslie PL
New Rochelle, NY 10804-1214

Mailing address

27 Leslie PL
New Rochelle, NY 10804-1214
Phone (914) 522-7997

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8976CTMDMental Health Counselor
018374-1NYMDDental Hygienist
018374NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1134242597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LESLIE PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041214",
            "telephone_number": "914-522-7997",
            "fax_number": "914-560-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LESLIE PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041214",
            "telephone_number": "914-522-7997",
            "fax_number": "914-560-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTENBERG",
        "first_name": "STACEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018374-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.