Individual provider Active NPI

Farhad Rostami, DPT

  • Physical Therapist
  • Tarrytown, NY
National Provider Identifier
1407146442
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027552-01 Issued in NY
Practice address
200 S Broadway Ste 2-2
Tarrytown, NY 10591-4536
Phone
(914) 631-1919
NPI assigned
Apr 11, 2011
Last updated
May 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027552-01 NY Primary

Addresses

Primary practice location

200 S Broadway Ste 2-2
Tarrytown, NY 10591-4536

Mailing address

200 S Broadway Ste 2-2
Tarrytown, NY 10591-4536
Phone (914) 631-1919

Other practice location 1

18 Ashford Ave
Dobbs Ferry, NY 10522-1823
Phone (914) 693-5459

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000695 NY Practitioner - Physical Therapist in Private Practice 8729240452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Quad Village Physical Therapy PCGroup PAC ID 6002077781, 2 clinicians

Practice addresses (Care Compare)

18 Ashford Ave
Suite 3E
Dobbs Ferry, NY 10522-1824
Phone (914) 693-5459

200 S Broadway
Suite 2 2
Tarrytown, NY 10591-4500
Phone (914) 631-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027552-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
200 Broadway Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients
Quad Village Physical Therapy P.C. Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients

Locations

18 Ashford Ave
Ste 3E
Dobbs Ferry, NY 10522
Phone (914) 693-5459

200 S Broadway
Ste 2-2
Tarrytown, NY 10591
Phone (914) 631-1919

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1407146442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY STE 2-2",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914536",
            "telephone_number": "914-631-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY STE 2-2",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914536",
            "telephone_number": "914-631-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Ashford Ave",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105221823",
            "country_code": "US",
            "telephone_number": "914-693-5459",
            "fax_number": "914-693-4497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSTAMI",
        "first_name": "FARHAD",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027552-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.