NPIMap

Organization Active NPI

Prohealth & Fitness, PT PC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1316971286
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020992 Issued in NY
Legal business name
PROHEALTH & FITNESS, PT PC
Practice address
180 W End Ave Apt 1M
New York, NY 10023-4917
Phone
(212) 600-4781
Fax
(800) 655-3780
NPI assigned
Jul 10, 2006
Last updated
Nov 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Dr. James A Nussbaum, PHD, MSPT, CSCS, EMTNPI 1588682686
Title
Clinical Director, President
Phone
(212) 600-4781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 020992 NY Primary
Occupational Therapist 225X00000X 007313 NY

Addresses

Primary practice location

180 W End Ave Apt 1M
New York, NY 10023-4917

Mailing address

180 W End Ave Apt 1M
New York, NY 10023-4917
Phone (212) 600-4781

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1316971286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W END AVE APT 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234917",
            "telephone_number": "212-600-4781",
            "fax_number": "800-655-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W END AVE APT 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234917",
            "telephone_number": "212-600-4781",
            "fax_number": "800-655-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH & FITNESS, PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, PRESIDENT",
        "authorized_official_telephone_number": "212-600-4781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MSPT, CSCS, EMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020992",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007313",
            "primary": false
        }
    ],
    "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 Nov 2, 2015; 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.