Organization Active NPI

Greenpoint Physical Therapy and Chiropractic PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1447814231
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GREENPOINT PHYSICAL THERAPY AND CHIROPRACTIC PLLC
Practice address
42 Broadway Ste 1535
New York, NY 10004-3885
Phone
(718) 496-5917
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Dr. Christian G Carollo, DC
Title
Partner
Phone
(718) 496-5917

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

42 Broadway Ste 1535
New York, NY 10004-3885

Mailing address

12 Ash PL
Huntington, NY 11743-4302
Phone (718) 496-5917

Other practice location 1

49 W 24th St Fl 4
New York, NY 10010-3570
Phone (212) 393-4673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260202001524 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678051570 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1447814231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ASH PL",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434302",
            "telephone_number": "718-496-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BROADWAY STE 1535",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043885",
            "telephone_number": "718-496-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 W 24th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100103570",
            "country_code": "US",
            "telephone_number": "212-393-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENPOINT PHYSICAL THERAPY AND CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "CAROLLO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-496-5917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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 Aug 26, 2021; 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.