NPIMap

Organization Active NPI

Physical Therapy of Lewisboro

  • Physical Therapist
  • Cross River, NY
National Provider Identifier
1245503192
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024977 Issued in NY
Legal business name
PHYSICAL THERAPY OF LEWISBORO
Practice address
890 Route 35
Cross River, NY 10518-1139
Phone
(914) 763-5941
Fax
(914) 763-5332
NPI assigned
Feb 22, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Mr. Sean W Waters, M.S.P.T.NPI 1528157385
Title
Ceo
Phone
(412) 654-3212

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 Therapist 225100000X 024977 NY Primary

Addresses

Primary practice location

890 Route 35
Cross River, NY 10518-1139

Mailing address

40 Exchange PL
Suite 1414
New York, NY 10005-2701
Phone (212) 425-1060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1245503192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 EXCHANGE PL",
            "address_2": "SUITE 1414",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052701",
            "telephone_number": "212-425-1060",
            "fax_number": "212-480-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ROUTE 35",
            "city": "CROSS RIVER",
            "state": "NY",
            "postal_code": "105181139",
            "telephone_number": "914-763-5941",
            "fax_number": "914-763-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF LEWISBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-654-3212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.