Individual provider Active NPI

Nicholas Rolnick, DPT

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1447789748
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
041648 Issued in NY
Practice address
370 Lexington Ave Ste 2300
New York, NY 10017-6503
Phone
(914) 400-3650
NPI assigned
Jun 8, 2017
Reactivated
Feb 13, 2019
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 041648 NY
Orthopedic Physical Therapist 2251X0800X 041648 NY Primary

Addresses

Primary practice location

370 Lexington Ave Ste 2300
New York, NY 10017-6503

Mailing address

301 E 47TH St Apt 11C
New York, NY 10017-2308
Phone (914) 400-3650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011000162 NY Practitioner - Physical Therapist in Private Practice 8527333970 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

171 E 74TH St
Suite 2 1
New York, NY 10021-3221
Phone (914) 400-3650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041648NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
B Stern Physical Therapy P.C. Single Specialty CurrentSince Jan 9, 2018 Accepting new patients
Genesis Medical Health PC Single Specialty Past Accepting new patients
Holt Chiropractic Offices, P.C. Single Specialty Past Accepting new patients

Locations

440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-5812

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Organizations & group practices 5

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1447789748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 47TH ST APT 11C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172308",
            "telephone_number": "914-400-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LEXINGTON AVE STE 2300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176503",
            "telephone_number": "914-400-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLNICK",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2019-02-13",
        "deactivation_date": "2019-02-04",
        "reactivation_date": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041648",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "041648",
            "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 Feb 13, 2019; 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.