Individual provider Active NPI

Bridgit Shaefer

  • Physical Therapist
  • New York, NY
National Provider Identifier
1255055109
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049503 Issued in NY
Practice address
119 W 57TH St Ste 600
New York, NY 10019-2305
Phone
(212) 974-7252
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 049503 NY Primary

Addresses

Primary practice location

119 W 57TH St Ste 600
New York, NY 10019-2305

Mailing address

119 W 57TH St Ste 600
New York, NY 10019-2305
Phone (212) 974-7252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105001059 NY Practitioner - Physical Therapist in Private Practice 9234509365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cynergy Physical Therapy, P.C.Group PAC ID 1658261755, 4 clinicians

Practice addresses (Care Compare)

119 W 57TH St
Suite 600
New York, NY 10019-2305
Phone (212) 974-7252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cynergy Physical Therapy Midtown East PLLC Physical Therapist CurrentSince Sep 27, 2022 Accepting new patients
Cynergy Physical Therapy, P.C. Physical Therapist CurrentSince Sep 27, 2022 Accepting new patients

Locations

119 W 57th St
Ste 600
New York, NY 10019
Phone (212) 974-7252

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1255055109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192305",
            "telephone_number": "212-974-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192305",
            "telephone_number": "212-974-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAEFER",
        "first_name": "BRIDGIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049503",
            "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 Oct 3, 2022; 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.