Organization Active NPI

Prohealth & Fitness

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1356756506
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
037123 Issued in NY
Legal business name
PROHEALTH & FITNESS
Practice address
180 W End Ave
# 1M
New York, NY 10023-4902
Phone
(212) 600-4781
NPI assigned
Jun 26, 2014
Last updated
Jun 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
James Nussbaum, PHDNPI 1588682686
Title
Physical Therapist
Phone
(212) 600-4781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 037123 NY Primary

Addresses

Primary practice location

180 W End Ave
# 1M
New York, NY 10023-4902

Mailing address

180 W End Ave
# 1M
New York, NY 10023-4902

National Provider Directory

National Provider Directory
Tax ID family
Pro Health and Fitness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1356756506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W END AVE",
            "address_2": "# 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W END AVE",
            "address_2": "# 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234902",
            "telephone_number": "212-600-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "212-600-4781",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "037123",
            "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 Jun 26, 2014; 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.