Procore Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018525-1 Issued in NY

Legal business name

PROCORE PHYSICAL THERAPY, P.C.

Practice address

135 Erie St E
Blauvelt, NY 10913-1823

Phone

(845) 680-2673

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory StemkowskiNPI 1053474973

Title

Sec. of Treasuary

Phone

(845) 680-2673

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Gregory Stemkowski, M.S. P.T.

  • Physical Therapist
  • Blauvelt, NY
  • NPI 1053474973
  Authorized official Same address or phone

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356463632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ERIE ST E",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131823",
            "telephone_number": "845-680-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ERIE ST E",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131823",
            "telephone_number": "845-680-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCORE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEMKOWSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "SEC. OF TREASUARY",
        "authorized_official_telephone_number": "845-680-2673"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018525-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Michelle Pereda, RN
• Andrew Charles Philip, PHD
• Physico-Connect PT PC
• Tracey E Polizzi, PH.D.
• Procore Physical Therapy P.C.
• Restoredhealth LLC
• Gabriel Ello Reventar, PT
• Solmi Roh, L.AC., DIPL. OM.
• Allison Rubin, RN
• Judy P Sabater James

• Physical Therapist in Blauvelt, NY
• Providers in Blauvelt, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.