Madison Avenue Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001915 Issued in NY

Legal business name

MADISON AVENUE PHYSICAL THERAPY, PC

Practice address

1015 Madison Ave
Suite 303
New York, NY 10021-0261

Phone

(212) 772-6610

Fax

(212) 772-7804

NPI assigned

Feb 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tzvi Barak, P.T., PH.D, OCS

Title

President

Phone

(212) 772-6610

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Ohad Lifshitz, P.T., PH.D.

  • Specialist
  • New York, NY
  • NPI 1427112036
  NPD (past)
• Andrew Maynard-Reid, MSPT

  • Physical Therapist
  • Rego Park, NY
  • NPI 1972658813
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457496291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MADISON AVE",
            "address_2": "SUITE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210261",
            "telephone_number": "212-772-6610",
            "fax_number": "212-772-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MADISON AVE",
            "address_2": "SUITE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210261",
            "telephone_number": "212-772-6610",
            "fax_number": "212-772-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON AVENUE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARAK",
        "authorized_official_first_name": "TZVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-772-6610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T., PH.D, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "001915",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003127-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Avenue Operatory
• Madison Avenue Optical LLC (James Tracey Eye Care)
• Madison Avenue Oral Surgery and Implant Center, PC
• Madison Avenue Orthodontics
• Madison Avenue Orthopaedic Associates PC
• Madison Avenue Physician Services PC
• Madison Avenue Physicians, PC
• Madison Avenue Psychiatry PLLC
• Madison Avenue Psychotherapy, Mental Health Counseling PC
• Madison Avenue Radiology PC

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• 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.

Verify at the official NPI Registry.