Individual provider Active NPI

Kevin Rosofsky, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1407532245
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
207 W 79TH St
New York, NY 10024-6283
Phone
(212) 874-1550
NPI assigned
Jun 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 Primary

Addresses

Primary practice location

207 W 79TH St
New York, NY 10024-6283

Mailing address

1385 Boston Post Rd Ste 101
Larchmont, NY 10538-3933
Phone (914) 315-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721002883 NY Practitioner - Physical Therapist in Private Practice 6002276078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Physical Therapy, P.C.Group PAC ID 5890780837, 19 clinicians

Practice addresses (Care Compare)

1385 Boston Post Rd
Larchmont, NY 10538-3933
Phone (914) 315-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Physical Therapy,PC Physical Therapist CurrentSince Jun 27, 2023 Accepting new patients
Recovery Physical Therapy, P.C. Physical Therapist CurrentSince Jul 2, 2023 Accepting new patients
Recovery Physical Therapy, PC Physical Therapist CurrentSince Jun 27, 2023 Accepting new patients

Locations

1385 Boston Post Rd
Ste 101
Larchmont, NY 10538

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1407532245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 BOSTON POST RD STE 101",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383933",
            "telephone_number": "914-315-1800",
            "fax_number": "914-315-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246283",
            "telephone_number": "212-874-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSOFSKY",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Jun 26, 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.