Individual provider Active NPI

John P Storck, PT

  • Orthopedic Physical Therapist
  • Briarcliff Manor, NY
National Provider Identifier
1437152949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
017388-1 Issued in NY
Practice address
141 N State Rd
Briarcliff Manor, NY 10510-1459
Phone
(914) 941-2674
Fax
(914) 941-2675
NPI assigned
May 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 017388-1 NY Primary

Addresses

Primary practice location

141 N State Rd
Briarcliff Manor, NY 10510-1459

Mailing address

141 N State Rd
Briarcliff Manor, NY 10510-1459
Phone (914) 941-2674

Other identifiers 3

IdentifierTypeStateIssuer
NY017388OtherNYLOCAL1199
02236551MedicaidNY
1000039296OtherNYAFFINITY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000028 NY Practitioner - Physical Therapist in Private Practice 9830181924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 N State Rd
Briarcliff Manor, NY 10510-1459
Phone (914) 941-2674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017388-1NYMDOrthopedic Physical Therapist
017388NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John P. Storck, PT P.C. Orthopedic CurrentSince Sep 9, 2003 Accepting new patients

Locations

141 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 762-1885

Organizations & group practices 1

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": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437152949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N STATE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101459",
            "telephone_number": "914-941-2674",
            "fax_number": "914-941-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N STATE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101459",
            "telephone_number": "914-941-2674",
            "fax_number": "914-941-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORCK",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "017388-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL1199",
            "identifier": "NY017388",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02236551",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000039296",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.