Active NPI
Platinum Wellness Physical Therapy, P.C.
- Physical Therapy Clinic/Center
- New York, NY
National Provider Identifier
1174767958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PLATINUM WELLNESS PHYSICAL THERAPY, P.C.
- Practice address
- 400 E 74TH St
New York, NY 10021-3912 - Phone
- (212) 452-2400
- NPI assigned
- Apr 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shari Rosen, P.T.
- Title
- President
- Phone
- (212) 452-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
400 E 74TH St
New York, NY 10021-3912
Mailing address
400 E 74TH St
New York, NY 10021-3912
Phone (212) 452-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770535379 | Other | NY | INDIVIDUAL NPI |
| A300000048 | Other | MEDICARE PTAN |
Other names 1
- Platinum Physical Therapy
National Provider Directory
National Provider DirectoryLocations
400 E 74th St
New York, NY 10021
Phone (212) 452-2400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240531200000",
"number": "1174767958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 74TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213912",
"telephone_number": "212-452-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 74TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213912",
"telephone_number": "212-452-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATINUM WELLNESS PHYSICAL THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-24",
"last_updated": "2009-04-24",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "SHARI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-452-2400",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1770535379",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "A300000048",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Platinum 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 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.