Soaring Eagle Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0235271 Issued in NY

Legal business name

SOARING EAGLE PHYSICAL THERAPY PC

Practice address

2051 Baldwin Rd
Suite 101
Yorktown Heights, NY 10598-4047

Phone

(800) 750-8616

Fax

(845) 362-8474

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Adrian Ferreira, PTNPI 1073613584

Title

Owner President

Phone

(914) 302-2190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adrian Ferreira, MS PT

  • Physical Therapist
  • Pleasantville, NY
  • NPI 1073613584
  Medicare reassignment Care Compare group Authorized official
• Noah James O'Dell, PT, DPT

  • Physical Therapist
  • West Haverstraw, NY
  • NPI 1083440507
  Medicare reassignment Care Compare group NPD
• Brendan Patrick Synan, P.T., D.P.T.

  • Physical Therapist
  • Carmel, NY
  • NPI 1316495823
  Medicare reassignment Care Compare group NPD
• Laurie A Kelleher, DC

  • Chiropractor
  • Yorktown Heights, NY
  • NPI 1902832140
  NPD
• Joseph A Grispin, ATC

  • Athletic Trainer
  • Yorktown Heights, NY
  • NPI 1326506981
  NPD (past)
• Samantha Ariel Russo, DPT

  • Physical Therapist
  • Yorktown Heights, NY
  • NPI 1053830364
  NPD (past)
• Jessie Vangor, PT

  • Physical Therapist
  • Yorktown Heights, NY
  • NPI 1427631241
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1346285194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FIREMENS MEMORIAL DR",
            "address_2": "SUITE 115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703553",
            "telephone_number": "800-750-8616",
            "fax_number": "845-362-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 BALDWIN RD",
            "address_2": "SUITE 101",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984047",
            "telephone_number": "800-750-8616",
            "fax_number": "845-362-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING EAGLE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "FERREIRA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "914-302-2190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0235271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Binoy K Singh, MD
• Mary Skelly-Noto, FNP
• Amy Smith, LCSW
• Jordon Victor Snowdon
• Jenny So, MD
• Bridget Sofroniou, M.A. CCC-SLP
• Solano
• Solanoma, Inc.
• Patrice Sonara, DO
• Wei Song, L.AC.

• Physical Therapist in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.