Procore Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

0185251 Issued in NY

Legal business name

PROCORE PHYSICAL THERAPY P.C.

Practice address

100 N Middletown Rd
Pearl River, NY 10965-2017

Phone

(845) 589-0556

Fax

(845) 589-0558

NPI assigned

Jan 11, 2016

Last updated

Jan 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Stemkowski, MSPT

Title

President/PT

Phone

(845) 589-0556

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1285090050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652017",
            "telephone_number": "845-589-0556",
            "fax_number": "845-589-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652017",
            "telephone_number": "845-589-0556",
            "fax_number": "845-589-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCORE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "STEMKOWSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT/PT",
        "authorized_official_telephone_number": "845-589-0556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0185251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "Q2W2C1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinga Pieta, LCSW
• Eileen Frances Pipolo, COTA
• Annarose Polifrone, M.D.
• Alyssa Portington
• Sreedivya Pradeep, PHD (AUDIOLOGY)
• Christopher Puleo, MSED, NCSP
• Kerry E Quinn, DPM
• Reena Raju
• Gail Ramsundar, LCSW-R
• Jennifer Bower Rankin, LCSW

• Physical Therapy Clinic/Center in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.