Organization Active NPI

Empire Performance PT, LLC

  • Physical Medicine & Rehabilitation Physician
  • Carmel, NY
National Provider Identifier
1487040473
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
035424-1 Issued in NY
Legal business name
EMPIRE PERFORMANCE PT, LLC
Practice address
2203 Route 301
Carmel, NY 10512-3434
Phone
(973) 839-1003
Fax
(973) 839-3653
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Anthony John Tanzi, PTNPI 1841583283
Title
Provider
Phone
(845) 225-2000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 035424-1 NY Primary

Addresses

Primary practice location

2203 Route 301
Carmel, NY 10512-3434

Mailing address

1611 Route 6
Carmel, NY 10512-1933
Phone (845) 225-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150814012666 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628383056 Receives reassigned benefits from 4 practitioners
Practice locations: Wappingers Falls, NY; Carmel, NY

National Provider Directory

National Provider Directory

Locations

1611 Route 6
Carmel, NY 10512
Phone (845) 225-2000

985 Route 376
Ste 21
Wappingers Falls, NY 12590
Phone (845) 225-2000

Practitioners & affiliated clinicians

Practitioners 5

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": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1487040473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121933",
            "telephone_number": "845-225-2000",
            "fax_number": "845-225-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 ROUTE 301",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123434",
            "telephone_number": "973-839-1003",
            "fax_number": "973-839-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE PERFORMANCE PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "TANZI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "845-225-2000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "035424-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.