Organization Active NPI

Platinum Wellness Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1174767958
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Apr 24, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1770535379OtherNYINDIVIDUAL NPI
A300000048OtherMEDICARE PTAN

Other names 1

  • Platinum Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.