Active NPI
Roland Richard Alley, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1336572957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036432
- Practice address
- 95 University PL
8TH Floor
New York, NY 10003-4515 - Phone
- (212) 604-1316
- Fax
- (646) 291-8025
- NPI assigned
- Aug 19, 2013
- 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 | 036432 | NY | Primary |
Addresses
Primary practice location
95 University PL
8TH Floor
New York, NY 10003-4515
Mailing address
95 University PL
8TH Floor
New York, NY 10003-4515
Phone (212) 604-1316
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
Practice addresses (Care Compare)
652 Route 299
Suite 204
Highland, NY 12528-2933
Phone (845) 579-5007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036432 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunks Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Holt Chiropractic Offices, P.C. | Past | Accepting new patients |
Locations
652 Route 299
#204
Highland, NY 12528
Phone (845) 579-5007
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Gardiner, NY
- NPI 1871201897
Physical Therapist
-
- Orthopedic Chiropractor
- Yonkers, NY
- NPI 1881895746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1336572957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 UNIVERSITY PL",
"address_2": "8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034515",
"telephone_number": "212-604-1316",
"fax_number": "646-291-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 UNIVERSITY PL",
"address_2": "8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034515",
"telephone_number": "212-604-1316",
"fax_number": "646-291-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEY",
"first_name": "ROLAND",
"middle_name": "RICHARD",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-19",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036432",
"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 Aug 19, 2013; 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.