Individual provider Active NPI

Zachary Grin, PT, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1154991412
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047350 Issued in NY
Practice address
16 Madison SQ W FL 11
New York, NY 10010-0061
Phone
(646) 397-2416
Fax
(332) 334-2990
NPI assigned
Jun 29, 2021
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02007200 NJ
Physical Therapist 225100000X 047350 NY Primary

Addresses

Primary practice location

16 Madison SQ W FL 11
New York, NY 10010-0061

Mailing address

175 E 96TH St Apt 23Q
New York, NY 10128-6212
Phone (219) 381-9518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203000198 NY Practitioner - Physical Therapist in Private Practice 6204229800 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 Madison SQ W
FL 11
New York, NY 10010-0061
Phone (646) 397-2416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02007200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rethink Physical Therapy, PLLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Bajaj Chiropractic, P.C. PastSince Jul 9, 2023 Accepting new patients

Locations

16 Madison Sq W
Fl 11
New York, NY 10010
Phone (212) 655-5802

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1154991412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E 96TH ST APT 23Q",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286212",
            "telephone_number": "219-381-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MADISON SQ W FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100100061",
            "telephone_number": "646-397-2416",
            "fax_number": "332-334-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIN",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02007200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047350",
            "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 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.