NPIMap

Organization Active NPI

Sportsmedicine Rehabilitation

Doing business as Sports Med Rehab

  • Physical Therapist
  • Scarsdale, NY
National Provider Identifier
1396791034
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTSMEDICINE REHABILITATION
Doing business as
Sports Med Rehab
Practice address
313 Central Park Ave
Scarsdale, NY 10583-1349
Phone
(914) 946-5685
Fax
(914) 946-0304
NPI assigned
May 25, 2006
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Mr. Lorena Gonzalez
Title
Office Manager
Phone
(914) 946-5685

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Physical Therapist 225100000X NU Primary
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU

Addresses

Primary practice location

313 Central Park Ave
Scarsdale, NY 10583-1349

Mailing address

141 S Central Ave
Suite 308
Hartsdale, NY 10530-2319
Phone (914) 946-5685

Other names 1

  • Sports Med Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

303 Central Park Ave
Scarsdale, NY 10583
Phone (914) 946-5685

313 Central Park Ave
Scarsdale, NY 10583
Phone (914) 325-6966

Practitioners & affiliated clinicians

Practitioners 10

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1396791034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S CENTRAL AVE",
            "address_2": "SUITE 308",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302319",
            "telephone_number": "914-946-5685",
            "fax_number": "914-946-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 CENTRAL PARK AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831349",
            "telephone_number": "914-946-5685",
            "fax_number": "914-946-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSMEDICINE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-946-5685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Med Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.