NPIMap

Organization Active NPI

Fusion Physical Therapy and Sports Wellness P.C.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1316927627
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020721-1 Issued in NY
Legal business name
FUSION PHYSICAL THERAPY AND SPORTS WELLNESS P.C.
Practice address
407 W 13TH St
Suite 3B
New York, NY 10014-1112
Phone
(212) 924-4920
Fax
(212) 924-0225
NPI assigned
Jan 20, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Carolyn S. Mazur, M.P.T.NPI 1487773719
Title
Clinical Director
Phone
(212) 924-4920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 020721-1 NY Primary

Addresses

Primary practice location

407 W 13TH St
Suite 3B
New York, NY 10014-1112

Mailing address

407 W 13TH St Ste 3B
New York, NY 10014-1104
Phone (212) 924-4920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000248 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012810864 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

407 W 13th St
Apt 3B
New York, NY 10014
Phone (212) 924-4920

407 W 13th St
Ste 3B
New York, NY 10014
Phone (212) 924-4920

60 Reade St
New York, NY 10007
Phone (212) 924-4920

Practitioners & affiliated clinicians

Practitioners 12

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": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1316927627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W 13TH ST STE 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141104",
            "telephone_number": "212-924-4920",
            "fax_number": "212-924-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W 13TH ST",
            "address_2": "SUITE 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141112",
            "telephone_number": "212-924-4920",
            "fax_number": "212-924-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION PHYSICAL THERAPY AND SPORTS WELLNESS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "212-924-4920",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020721-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.