NPIMap

Organization Active NPI

Park North Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1194930511
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
019912 Issued in NY
Legal business name
PARK NORTH PHYSICAL THERAPY, PLLC
Practice address
233 Malcolm X Blvd
New York, NY 10027-6498
Phone
(212) 222-6525
Fax
(212) 222-6524
NPI assigned
May 10, 2007
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Mr. Sameer Morjaria, PTNPI 1972796142
Title
Physical Therapist
Phone
(212) 222-6525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 019912 NY Primary

Addresses

Primary practice location

233 Malcolm X Blvd
New York, NY 10027-6498

Mailing address

233 Malcolm X Blvd
New York, NY 10027-6498
Phone (212) 222-6525

Other practice location 1

2804 Broadway
New York, NY 10025-2236
Phone (212) 222-6525

Other identifiers 1

IdentifierTypeStateIssuer
0030380OtherORTHONET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000607 NY Part B Supplier - Clinic/Group Practice 9335238781 Receives reassigned benefits from 11 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

2804 Broadway
New York, NY 10025
Phone (212) 222-6525

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1194930511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276498",
            "telephone_number": "212-222-6525",
            "fax_number": "212-222-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276498",
            "telephone_number": "212-222-6525",
            "fax_number": "212-222-6524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2804 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100252236",
            "country_code": "US",
            "telephone_number": "212-222-6525",
            "fax_number": "212-222-6524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARK NORTH PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "MORJARIA",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "212-222-6525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "019912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "0030380",
            "state": null
        }
    ],
    "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 Oct 9, 2026; 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.