Organization Active NPI

Centurion Physical Therapy and Associates PC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1457781882
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTURION PHYSICAL THERAPY AND ASSOCIATES PC
Practice address
152 W 57TH St FL 6
New York, NY 10019-3310
Phone
(212) 799-6700
Fax
(212) 799-4533
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Chris Kronish
Title
Office Manager
Phone
(212) 799-6700

Specialties & licenses 1

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

Addresses

Primary practice location

152 W 57TH St FL 6
New York, NY 10019-3310

Mailing address

152 W 57TH St FL 6
New York, NY 10019-3310
Phone (212) 799-6700

Other identifiers 2

IdentifierTypeStateIssuer
1134737398OtherNYNPI
1659468528OtherNYNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200914001192 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6305264953 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

152 W 57th St
Fl 6
New York, NY 10019
Phone (212) 799-6700

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": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1457781882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W 57TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193310",
            "telephone_number": "212-799-6700",
            "fax_number": "212-799-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W 57TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193310",
            "telephone_number": "212-799-6700",
            "fax_number": "212-799-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION PHYSICAL THERAPY AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "KRONISH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-799-6700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134737398",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659468528",
            "state": "NY"
        }
    ],
    "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 Oct 22, 2020; 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.