NPIMap

Organization Active NPI

Recovery Physical Therapy,PC

  • Physical Therapist
  • Glendale, NY
National Provider Identifier
1407991805
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RECOVERY PHYSICAL THERAPY,PC
Practice address
8000 Cooper Avenue
Glendale, NY 11385
Phone
(718) 894-8960
Fax
(718) 894-8964
NPI assigned
Feb 21, 2007
Last updated
Apr 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Gerard C Desmond, PT
Title
Owner
Phone
(914) 315-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

8000 Cooper Avenue
Glendale, NY 11385

Mailing address

8000 Cooper Avenue
Glendale, NY 11385
Phone (718) 894-8960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000494 NY Part B Supplier - Clinic/Group Practice 5890780837 Receives reassigned benefits from 38 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Larchmont, NY; New York, NY

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

650 University Ave
Ste 203
Sacramento, CA 95825
Phone (916) 649-0700

8000 Cooper Ave
Glendale, NY 11385
Phone (718) 326-2789

8016 Cooper Ave
Glendale, NY 11385
Phone (718) 894-8960

200 Park Ave
New York, NY 10166
Phone (212) 953-9494

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1407991805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 COOPER AVENUE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "718-894-8960",
            "fax_number": "718-894-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 COOPER AVENUE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "718-894-8960",
            "fax_number": "718-894-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY PHYSICAL THERAPY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-315-1800",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.