Individual provider Active NPI

Ricardo M Hudson Jr., P.T.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1245511864
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P81791 Issued in NY
Practice address
145 E 32ND St
4TH Floor
New York, NY 10016-6055
Phone
(212) 427-3986
Fax
(212) 996-5949
NPI assigned
Sep 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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 P81791 NY Primary

Addresses

Primary practice location

145 E 32ND St
4TH Floor
New York, NY 10016-6055

Mailing address

145 E 32ND St
4TH Floor
New York, NY 10016-6055
Phone (212) 427-3986

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721001955 PA Practitioner - Physical Therapist in Private Practice 6709059587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Suburban Sports Medicine Center LPGroup PAC ID 6507306909, 24 clinicians

Practice addresses (Care Compare)

40 Lincoln Way
North Huntingdon, PA 15642-1852
Phone 41285680602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P81791NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Suburban Sports Medicine Center LP Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc. Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Orthopedic and Sports Physical Therapy Associates Inc Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
East Suburban Sports Medicine Center, LTD. Physical Therapist PastSince Dec 31, 2022 Accepting new patients

Locations

133 Donohoe Rd
Ste 200
Greensburg, PA 15601

3520 Route 130
Ofc
Irwin, PA 15642
Phone (724) 744-0950

2571 Mosside Blvd
Monroeville, PA 15146
Phone (412) 856-8811

4115 Wm Penn Hwy
Murrysville, PA 15668
Phone (724) 327-7099

625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-4886

40 Lincoln Way
North Huntingdon, PA 15642
Phone 41285680602

1813 Golden Mile Hwy
Ste 200
Pittsburgh, PA 15239
Phone 41285680606

1000 Integrity Dr
Pittsburgh, PA 15235
Phone (412) 242-8450

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

125 Market St
Scottdale, PA 15683
Phone (724) 887-6615

1985 Lincoln Way
White Oak, PA 15131
Phone (412) 421-5390

Organizations & group practices 5

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1245511864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 32ND ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166055",
            "telephone_number": "212-427-3986",
            "fax_number": "212-996-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 32ND ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166055",
            "telephone_number": "212-427-3986",
            "fax_number": "212-996-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "RICARDO",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "P81791",
            "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 Apr 29, 2021; 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.