Organization Active NPI

Gramercy Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1396025797
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
030947 Issued in NY
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

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Mr. Evgeny Shenker, P.T.NPI 1487988739
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)CodeLicenseStatePrimary
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 NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111012000338 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052583234 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20210217000281 NY DME Supplier - Independently-Practicing Physical Therapist 1052583234 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.