Individual provider Active NPI

Shmuel Tatz, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1205917432
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014337-1 Issued in NY
Practice address
881 7TH Ave
New York, NY 10019-3210
Phone
(212) 246-7308
Fax
(212) 246-7429
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 014337-1 NY Primary

Addresses

Primary practice location

881 7TH Ave
New York, NY 10019-3210

Mailing address

30 W 60TH St
Apt 1D
New York, NY 10023-7906
Phone (212) 246-7308

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000001 NY Practitioner - Physical Therapist in Private Practice 4880755685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 W 60TH St
New York, NY 10023-7902
Phone (212) 246-7308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014337-1NYMDPhysical Therapist
014337NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shmuel Tatz PT P.C. Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1205917432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W 60TH ST",
            "address_2": "APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237906",
            "telephone_number": "212-246-7308",
            "fax_number": "212-246-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193210",
            "telephone_number": "212-246-7308",
            "fax_number": "212-246-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATZ",
        "first_name": "SHMUEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014337-1",
            "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 Nov 30, 2016; 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.