Individual provider Active NPI

John Rock Jr., DPT

  • Physical Therapist
  • Darien, CT
National Provider Identifier
1336817360
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
19 Old Kings Hwy S Ste 120
Darien, CT 06820-4532
Phone
(203) 621-0050
NPI assigned
Sep 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

19 Old Kings Hwy S Ste 120
Darien, CT 06820-4532

Mailing address

3214 Avalon Gates
Trumbull, CT 06611-5807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722002059 NY Practitioner - Physical Therapist in Private Practice 3274079652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Elevate Physical Therapy PLLCGroup PAC ID 8527338847, 5 clinicians

Practice addresses (Care Compare)

334 Underhill Ave
Suite 1a
Yorktown Heights, NY 10598-4543
Phone (914) 245-0298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051238NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy, PLLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Elevate Holding Company, LLC Physical Therapist CurrentSince Apr 16, 2018 Accepting new patients
Elevate PT- Stamford PLLC PastSince Jul 25, 2019 Accepting new patients
Elevate PT - Trumbull PLLC PastSince Mar 4, 2021 Accepting new patients
Elevate Professional Services, LLC PastSince May 16, 2022 Accepting new patients

Locations

19 Old Kings Hwy S
Ste 120
Darien, CT 06820
Phone (201) 621-0050

1234 Summer St
Ste 102
Stamford, CT 06905
Phone (203) 653-7269

6540 Main St
Ste 5
Trumbull, CT 06611
Phone (203) 816-0100

334 Underhill Ave
Ste 1A
Yorktown Hts, NY 10598
Phone (914) 245-0298

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1336817360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 AVALON GATES",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD KINGS HWY S STE 120",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204532",
            "telephone_number": "203-621-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.

Verify at the official NPI Registry.