NPIMap

Organization Active NPI

J Gersch Physical Therapy PC

Doing business as Highland Physical Therapy

  • Physical Therapist
  • Highland, NY
National Provider Identifier
1265607931
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012167-1 Issued in NY
Legal business name
J GERSCH PHYSICAL THERAPY PC
Doing business as
Highland Physical Therapy
Practice address
280 Route 299 Ste 1
Highland, NY 12528-2552
Phone
(845) 691-9169
NPI assigned
Apr 24, 2008
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Mr. Jeffrey Michael Gersch Sr., PTNPI 1013913540
Title
President
Phone
(845) 691-9169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 012167-1 NY Primary

Addresses

Primary practice location

280 Route 299 Ste 1
Highland, NY 12528-2552

Mailing address

280 Route 299, Suite 1
Highland, NY 12528-2551
Phone (845) 691-9169

Other practice location 1

1508 Route 9W Ste 1
Marlboro, NY 12542-5436
Phone (845) 691-9169

Other names 1

  • Highland Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000271 NY Part B Supplier - Clinic/Group Practice 2466522008 Receives reassigned benefits from 3 practitioners
Practice locations: Highland, NY; Marlboro, NY

National Provider Directory

National Provider Directory
Tax ID family
J Gersch Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

280 State Route 299
Ste 1
Highland, NY 12528
Phone (845) 691-9169

Ownership & related parties

Subparts reporting this organization as parent 1

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1265607931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 ROUTE 299, SUITE 1",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282551",
            "telephone_number": "845-691-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ROUTE 299 STE 1",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282552",
            "telephone_number": "845-691-9169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Route 9W Ste 1",
            "address_purpose": "LOCATION",
            "city": "Marlboro",
            "state": "NY",
            "postal_code": "125425436",
            "country_code": "US",
            "telephone_number": "845-691-9169",
            "fax_number": "845-691-3864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J GERSCH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "GERSCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-691-9169",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012167-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.