Active NPI
Gramercy Physical Therapy PC
- Physical Therapy Clinic/Center
- New York, NY
National Provider Identifier
1396025797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 030947
- Legal business name
- GRAMERCY PHYSICAL THERAPY PC
- Practice address
- 247 3Rd Ave
Suite LL2
New York, NY 10010-7457 - Phone
- (917) 589-9067
- NPI assigned
- Aug 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Evgeny Shenker, P.T.
- Title
- Physical Therapist/ Owner
- Phone
- (917) 589-9067
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 030947 | NY | Primary |
Addresses
Primary practice location
247 3Rd Ave
Suite LL2
New York, NY 10010-7457
Mailing address
247 3Rd Ave
Suite LL2
New York, NY 10010-7457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
247 3rd Ave
Ste LL2
New York, NY 10010
Phone (212) 598-5913
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physical Therapist
- New York, NY
- NPI 1487988739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318464000000",
"number": "1396025797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 3RD AVE",
"address_2": "SUITE LL2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 3RD AVE",
"address_2": "SUITE LL2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107457",
"telephone_number": "917-589-9067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAMERCY PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-17",
"last_updated": "2011-10-13",
"status": "A",
"authorized_official_last_name": "SHENKER",
"authorized_official_first_name": "EVGENY",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
"authorized_official_telephone_number": "917-589-9067",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "030947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Gramercy Park Medical Associates, PC
- Gramercy Park Physical Medicine and Rehabilitation PC
- Gramercy Park Physicians LLP
- Gramercy Park Podiatry, PLLC
- Gramercy Park Services, LLC
- Gramercy Podiatric Surgical Suite
- Gramercy Prosthodontics, PLLC
- Gramercy Psychological Services LLC
- Gramercy Smiles
- Gramercy Smiles Dental
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.