Organization Active NPI

Performing Arts Physical Therapy PC

  • Specialist
  • Hastings on Hudson, NY
National Provider Identifier
1386677920
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
009366-1 Issued in NY
Legal business name
PERFORMING ARTS PHYSICAL THERAPY PC
Practice address
13 Cedar St
Hastings on Hudson, NY 10706-3905
Phone
(212) 245-7278
Fax
(212) 245-7461
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Mr. Sean Padric Gallagher, PT
Title
Owner
Phone
(212) 245-7178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 009366-1 NY Primary

Addresses

Primary practice location

13 Cedar St
Hastings on Hudson, NY 10706-3905

Mailing address

13 Cedar St
Hastings on Hudson, NY 10706-3905
Phone (212) 245-7278

Other identifiers 9

IdentifierTypeStateIssuer
12067507OtherNYMULTIPLAN
4261314OtherNYCIGNA PPO PAR
77A0121OtherNYABC HEALTHPLAN
Q63523OtherNYEBCBS HMO
4417349OtherNYAETNA NON-PAR
0107301OtherNYHEALTHNET ORTHONET
08009814NY01OtherNYANTHEM HEALTHPLAN
2C0813OtherNYHEALTHNET
P2166797OtherNYOXFORD

National Provider Directory

National Provider Directory

Locations

311 W 43rd St
Ste 405
New York, NY 10036
Phone (212) 245-7278

1101 S Broad St
Philadelphia, PA 19147
Phone (215) 551-4694

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1386677920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CEDAR ST",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063905",
            "telephone_number": "212-245-7278",
            "fax_number": "212-245-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CEDAR ST",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063905",
            "telephone_number": "212-245-7278",
            "fax_number": "212-245-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMING ARTS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PADRIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-245-7178",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "009366-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12067507",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO PAR",
            "identifier": "4261314",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC HEALTHPLAN",
            "identifier": "77A0121",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EBCBS HMO",
            "identifier": "Q63523",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-PAR",
            "identifier": "4417349",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ORTHONET",
            "identifier": "0107301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHPLAN",
            "identifier": "08009814NY01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C0813",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2166797",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.