Stone Ridge Physical Therapy, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

017511 Issued in NY

Legal business name

STONE RIDGE PHYSICAL THERAPY, PC

Practice address

3555 Main St
Stone Ridge, NY 12484-5612

Phone

(845) 687-8806

NPI assigned

Nov 16, 2006

Last updated

May 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert KleinNPI 1669444568

Title

President

Phone

(845) 687-8806

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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.

• Robert Klein, PT

  • Specialist
  • Stone Ridge, NY
  • NPI 1669444568
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Hoyt, PT

  • Specialist
  • Stone Ridge, NY
  • NPI 1841262128
  Medicare reassignment Care Compare group NPD
• Michael Joseph De Angelis, P.T.

  • Orthopedic Physical Therapist
  • Saugerties, NY
  • NPI 1346388279
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1164595294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 MAIN ST",
            "address_2": "PO BOX 266",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 MAIN ST",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845612",
            "telephone_number": "845-687-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE RIDGE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-687-8806"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "017511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech Bubble LLC
• Wayne William St Hill, DDS
• St. Peters Health Partners Medical Associates PC
• Alina Staicu-Alexander, LCAT
• Stone Ridge Chiropractic, PC
• Robert J Taylor, MD
• Joseph Henry Tieri, D.O.
• Sondra D. Tillou, D.C.
• Kara Tucker, LCSW
• George E. Wain, LCSW-R

• Specialist in Stone Ridge, NY
• Providers in Stone Ridge, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.