Organization Active NPI

Reform Physical Therapy, PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1235643776
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REFORM PHYSICAL THERAPY, PLLC
Practice address
650 Broadway FL 3
New York, NY 10012-2315
Phone
(212) 739-9237
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Authorized official

Name
Dr. Abigail Bales, PT, DPT, CSCS
Title
Owner, Physical Therapist
Phone
(212) 739-9237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

650 Broadway FL 3
New York, NY 10012-2315

Mailing address

PO Box 2123
Greenport, NY 11944-0975
Phone (212) 739-9237

Other names 1

  • Reform Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

650 Broadway
Fl 3
New York, NY 10012
Phone (212) 739-9237

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1235643776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2123",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119440975",
            "telephone_number": "212-739-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BROADWAY FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122315",
            "telephone_number": "212-739-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "212-739-9237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reform 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 Nov 20, 2017; 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.