NPIMap

Organization Active NPI

Metro Sports Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1245447663
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
METRO SPORTS PHYSICAL THERAPY PC
Practice address
113 E 23Rd St
New York, NY 10010-4507
Phone
(646) 742-0165
Fax
(646) 742-0462
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Ms. Sejal Vyas, PTNPI 1851455679
Title
Director
Phone
(646) 742-0165

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 Primary

Addresses

Primary practice location

113 E 23Rd St
New York, NY 10010-4507

Mailing address

303 Park Ave S
#1243
New York, NY 10010-3601
Phone (646) 742-0165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121024000237 NY Part B Supplier - Clinic/Group Practice 5698925857 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
Practice locations: New York, NY

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Metro Sports Physical Therapy PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

303 Park Ave S
#1243
New York, NY 10010
Phone (646) 742-0165

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1245447663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PARK AVE S",
            "address_2": "#1243",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103601",
            "telephone_number": "646-742-0165",
            "fax_number": "646-742-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104507",
            "telephone_number": "646-742-0165",
            "fax_number": "646-742-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO SPORTS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "SEJAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-742-0165",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 27, 2012; 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.