Organization Active NPI

Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  • Physical Therapist
  • Harrison, NY
National Provider Identifier
1396799409
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE PATH
Practice address
550 Mamaroneck Ave
Suite 104
Harrison, NY 10528-1634
Phone
(914) 777-8700
Fax
(914) 777-8705
NPI assigned
May 22, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ashley Griffiths
Title
Sr. Director of Provider Relations
Phone
(914) 294-4050

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 489

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

View all 489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040723000705 NY Part B Supplier - Clinic/Group Practice 7012997638 Receives reassigned benefits from 332 practitioners

National Provider Directory

National Provider Directory

Locations (25 of 35)

10033 Wicker Ave
Ste 78
Saint John, IN 46373
Phone (219) 213-2222

10787 Randolph St
Ste 220
Winfield, IN 46307
Phone (219) 333-5900

1063 Willis Ave
Albertson, NY 11507
Phone (516) 656-7776

2846 Steinway St
Astoria, NY 11103
Phone (347) 424-4503

400 W Main St
Ste 340342
Babylon, NY 11702
Phone (631) 661-3180

4276 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-5570

1 Starr Ridge Rd
Brewster, NY 10509

21 Flatbush Ave
Brooklyn, NY 11217

81 Court St
Brooklyn, NY 11201
Phone (323) 920-5333

326 E Main St
East Islip, NY 11730

214 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 268-3555

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

3584 US Highway 9W
Highland, NY 12528
Phone (845) 709-8977

3598 Route 9W
Ste A
Highland, NY 12528
Phone (845) 709-8977

1995 Rte 52
Hopewell Junction, NY 12533

33 Walt Whitman Rd
Ste 118
Huntington Station, NY 11746
Phone (516) 312-6670

286 Portion Rd
#A
Lake Ronkonkoma, NY 11779
Phone (631) 710-3317

286A Portion Rd
Lake Ronkonkoma, NY 11779
Phone (631) 710-3317

4543 21st St
Long Island City, NY 11101
Phone (347) 589-8100

4543 21st St
Fl 2
Long Island City, NY 11101
Phone (347) 589-8100

88 Dunning Rd
Ste 15
Middletown, NY 10940
Phone (845) 209-3048

88-15 Dunning Rd
Ste 10
Middletown, NY 10940

412 Market St
Nanuet, NY 10954
Phone (347) 741-3619

159 E 74th St
Unit 3
New York, NY 10021
Phone (466) 762-4414

159 E 74th St
New York, NY 10021
Phone (212) 439-9302

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

NPPES NPI Registry

Primary practice location

550 Mamaroneck Ave
Suite 104
Harrison, NY 10528-1634

Mailing address

PO Box 416501
Boston, MA 02241-7594
Phone (914) 294-4050

Other practice location 1

918 Ulster Ave
Kingston, NY 12401-1344
Phone (845) 339-8900

Other practice location 2

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 876-7707

Other practice location 3

1995 Route 52
Hopewell Junction, NY 12533
Phone (845) 897-4660

Other practice location 4

1910 South Rd
Poughkeepsie, NY 12601-6027
Phone (845) 454-0120

Other names 2

NPPES NPI Registry
  • IVYREHAB PHYSICAL THERAPY, PLLC Former legal business name
  • Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2026.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1396799409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417594",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAMARONECK AVE",
            "address_2": "SUITE 104",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281634",
            "telephone_number": "914-777-8700",
            "fax_number": "914-777-8705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 Ulster Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124011344",
            "country_code": "US",
            "telephone_number": "845-339-8900",
            "fax_number": "845-663-1351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6511 Spring Brook Ave",
            "address_purpose": "LOCATION",
            "city": "Rhinebeck",
            "state": "NY",
            "postal_code": "125723709",
            "country_code": "US",
            "telephone_number": "845-876-7707",
            "fax_number": "845-871-2008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 ROUTE 52",
            "address_purpose": "LOCATION",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "country_code": "US",
            "telephone_number": "845-897-4660",
            "fax_number": "845-202-1812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 South Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126016027",
            "country_code": "US",
            "telephone_number": "845-454-0120",
            "fax_number": "845-271-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE PATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PROVIDER RELATIONS",
        "authorized_official_telephone_number": "914-294-4050"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVYREHAB PHYSICAL THERAPY, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "IVYREHAB PHYSICAL THERAPY, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.