Active NPI
Northeast Physical Therapy PLLC
- Orthopedic Physical Therapist
- Pearl River, NY
National Provider Identifier
1467112854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- NORTHEAST PHYSICAL THERAPY PLLC
- Practice address
- 275 N Middletown Rd Ste 1B
Pearl River, NY 10965-1191 - Phone
- (845) 623-6566
- Fax
- (845) 623-6556
- NPI assigned
- Dec 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sudhir V Tawalare, PT
- Title
- Owner
- Phone
- (845) 623-6566
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | |||
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
275 N Middletown Rd Ste 1B
Pearl River, NY 10965-1191
Mailing address
281 Spring Valley Rd
Park Ridge, NJ 07656-1017
Phone (845) 623-6566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Rye, NY
- NPI 1760014393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640563200000",
"number": "1467112854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 SPRING VALLEY RD",
"city": "PARK RIDGE",
"state": "NJ",
"postal_code": "076561017",
"telephone_number": "845-623-6566",
"fax_number": "845-623-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N MIDDLETOWN RD STE 1B",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651191",
"telephone_number": "845-623-6566",
"fax_number": "845-623-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-27",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A",
"authorized_official_last_name": "TAWALARE",
"authorized_official_first_name": "SUDHIR",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-623-6566",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251H1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.