NPIMap

Organization Active NPI

Trinity Physical Therapy PC

  • Exclusive Provider Organization
  • Carmel, NY
National Provider Identifier
1225223548
Registry record updated Mar 20, 2018
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Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
023515 Issued in NY
Legal business name
TRINITY PHYSICAL THERAPY PC
Practice address
838 Fair St
Carmel, NY 10512-3085
Phone
(845) 279-5111
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Mrs. Jennifer Darby, PT
Title
Physical Therapist/Owner
Phone
(845) 279-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 023515 NY Primary

Addresses

Primary practice location

838 Fair St
Carmel, NY 10512-3085

Mailing address

PO Box 966
Brewster, NY 10509-0966
Phone (845) 279-5111

Other practice location 1

1454 Route 22
Suite B102
Brewster, NY 10509-4346
Phone (845) 279-5111

National Provider Directory

National Provider Directory

Locations

1454 Route 22
Ste B102
Brewster, NY 10509
Phone (845) 279-5111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1225223548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105090966",
            "telephone_number": "845-279-5111",
            "fax_number": "845-279-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 FAIR ST",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123085",
            "telephone_number": "845-279-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1454 Route 22",
            "address_2": "Suite B102",
            "address_purpose": "LOCATION",
            "city": "Brewster",
            "state": "NY",
            "postal_code": "105094346",
            "country_code": "US",
            "telephone_number": "845-279-5111",
            "fax_number": "845-279-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRINITY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "845-279-5111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "023515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.