Individual provider Active NPI

Daniel J. Fishman, P.T., DPT, CHT

  • Physical Therapist
  • Newburgh, NY
National Provider Identifier
1295804045
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8709 Issued in NY
Practice address
260 North St
Newburgh, NY 12550-3131
Phone
(845) 565-5054
Fax
(845) 565-4071
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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 8709 NY Primary

Addresses

Primary practice location

260 North St
Newburgh, NY 12550-3131

Mailing address

260 North St
Newburgh, NY 12550-3131
Phone (845) 565-5054

Other identifiers 1

IdentifierTypeStateIssuer
01572430MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000616 NY Practitioner - Physical Therapist in Private Practice 8628097870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8709NYMDPhysical Therapist
008709NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Nov 18, 2024 Accepting new patients
Peak Physical Therapy Pine Bush PLLC Current Accepting new patients
Montefiore Medical Center CurrentSince Nov 18, 2024 Accepting new patients
County Physical Therapy Past Accepting new patients
County Physical Therapy LLC Physical Therapist PastSince Jul 1, 2009 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

83 N Chestnut St
#1
New Paltz, NY 12561
Phone (845) 256-0820

2 Victory Ct
Newburgh, NY 12550
Phone (845) 522-5480

260 North St
Newburgh, NY 12550
Phone (845) 565-5054

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1295804045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NORTH ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503131",
            "telephone_number": "845-565-5054",
            "fax_number": "845-565-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NORTH ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503131",
            "telephone_number": "845-565-5054",
            "fax_number": "845-565-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "credential": "P.T., DPT, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "8709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01572430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.