Active NPI
Fervic Salvacion
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031159
- Practice address
- 460 W 34TH Street
New York, NY 10001 - Phone
- (212) 273-6519
- NPI assigned
- Jan 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 031159 | NY | Primary |
Addresses
Primary practice location
460 W 34TH Street
New York, NY 10001
Mailing address
460 W 34TH Street
New York, NY 10001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3060 E Tremont Ave
Bronx, NY 10461-5726
Phone (718) 239-1790
460 W 34TH St
FL 9
New York, NY 10001-2382
Phone (212) 273-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031159 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Adult Institute, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
460 W 34th St
New York, NY 10001
Phone (212) 273-6515
220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- fervic.salvacion.d1.p1@direct.premierhealthcare.nextgenshare.com
Organizations & group practices 3
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.
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- New York, NY
- NPI 1760436190
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1144314576
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1831330182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1326469602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W 34TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W 34TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "212-273-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALVACION",
"first_name": "FERVIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-03",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031159",
"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 Jan 3, 2014; 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.