Active Rehabilitation and Conditioning

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000780-1 Issued in NY

Legal business name

ACTIVE REHABILITATION AND CONDITIONING

Practice address

646 W 131St St
Suite #301
New York, NY 10027-7948

Phone

(212) 281-6412

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eugene Spencer Schafer, MA, ATC, CSCS

Title

Owner

Phone

(212) 281-6412

Specialties & licenses 1

Addresses

Other names 1

• ARC Athletics Doing business as

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285747667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W 131ST ST",
            "address_2": "SUITE #301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277948",
            "telephone_number": "212-281-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 W 131ST ST",
            "address_2": "SUITE #301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277948",
            "telephone_number": "212-281-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE REHABILITATION AND CONDITIONING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-281-6412",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000780-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC Athletics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Athletic Trainer in New York, NY
• Providers in New York, NY by specialty
• Athletic Trainer in New York

• 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.