NPIMap

Organization Active NPI

Bespoke Treatments Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1336756758
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BESPOKE TREATMENTS PHYSICAL THERAPY PC
Practice address
295 Madison Ave
Suite 1801
New York, NY 10017-6404
Phone
(646) 596-7427
Fax
(646) 358-3443
NPI assigned
Sep 29, 2020
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Matthew Guskin
Title
Director of Billing/Collections
Phone
(646) 596-7427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

295 Madison Ave
Suite 1801
New York, NY 10017-6404

Mailing address

295 Madison Ave
Suite 1801
New York, NY 10017-6404
Phone (646) 596-7427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241211002879 NY Part B Supplier - Clinic/Group Practice 0042746240 Receives reassigned benefits from 23 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

295 Madison Ave
Rm 1801
New York, NY 10017
Phone (646) 596-7427

9 E 40th St
Rm 1200
New York, NY 10016
Phone (646) 596-7427

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1336756758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MADISON AVE",
            "address_2": "SUITE 1801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176404",
            "telephone_number": "646-596-7427",
            "fax_number": "646-358-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MADISON AVE",
            "address_2": "SUITE 1801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176404",
            "telephone_number": "646-596-7427",
            "fax_number": "646-358-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE TREATMENTS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "GUSKIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING/COLLECTIONS",
        "authorized_official_telephone_number": "646-596-7427"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Sep 29, 2020; 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.