Organization Active NPI

Pro Sports Physical Therapy of Westchester, PC

  • Orthopedic Physical Therapist
  • Scarsdale, NY
National Provider Identifier
1285708537
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
013634-1 Issued in NY
Legal business name
PRO SPORTS PHYSICAL THERAPY OF WESTCHESTER, PC
Practice address
2 Overhill Rd Ste 315
Scarsdale, NY 10583-5316
Phone
(914) 723-6987
Fax
(914) 723-7546
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Timothy Tyler, PT
Title
Owner
Phone
(914) 723-6987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 013634-1 NY Primary

Addresses

Primary practice location

2 Overhill Rd Ste 315
Scarsdale, NY 10583-5316

Mailing address

2 Overhill Rd Ste 315
Scarsdale, NY 10583-5316
Phone (914) 723-6987

National Provider Directory

National Provider Directory

Locations

2 Overhill Rd
Ste 315
Scarsdale, NY 10583
Phone (914) 723-6987

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285708537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD STE 315",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835316",
            "telephone_number": "914-723-6987",
            "fax_number": "914-723-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD STE 315",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835316",
            "telephone_number": "914-723-6987",
            "fax_number": "914-723-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO SPORTS PHYSICAL THERAPY OF WESTCHESTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-723-6987",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "013634-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.