Active NPI
Lower Hudson Valley Physical Therapy PC
- Physical Therapist
- Pomona, NY
National Provider Identifier
1407976350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6023 AND 5474
- Legal business name
- LOWER HUDSON VALLEY PHYSICAL THERAPY PC
- Practice address
- 11 Medical Park Dr
Suite 204
Pomona, NY 10970-3559 - Phone
- (845) 354-1944
- Fax
- (845) 354-0189
- NPI assigned
- Apr 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Edward Forrest, P.T.
- Title
- President
- Phone
- (845) 354-1944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6023 AND 5474 | NY | Primary |
Addresses
Primary practice location
11 Medical Park Dr
Suite 204
Pomona, NY 10970-3559
Mailing address
PO Box 115
11 Medical Park Dr.
Pomona, NY 10970-0115
Phone (845) 354-1944
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RS082 | Other | NY | OXFORD HEALTH INS ID |
| 26601 | Other | NM | ORTHONET ID |
| 1578695003 | Other | NY | NPI |
| RS084 | Other | NM | OXFORD HEALTH INS. ID |
| 1457311706 | Other | NY | NPI |
National Provider Directory
National Provider DirectoryLocations
11 Medical Park Dr
Ste 204
Pomona, NY 10970
Phone (845) 354-1944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407976350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115",
"address_2": "11 MEDICAL PARK DR.",
"city": "POMONA",
"state": "NY",
"postal_code": "109700115",
"telephone_number": "845-354-1944",
"fax_number": "845-354-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MEDICAL PARK DR",
"address_2": "SUITE 204",
"city": "POMONA",
"state": "NY",
"postal_code": "109703559",
"telephone_number": "845-354-1944",
"fax_number": "845-354-0189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWER HUDSON VALLEY PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FORREST",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-354-1944",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "6023 AND 5474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH INS ID",
"identifier": "RS082",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET ID",
"identifier": "26601",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578695003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH INS. ID",
"identifier": "RS084",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1457311706",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.