Active NPI
Daniel Roth, MPT, MS ED, CSCS
- Physical Therapist
- New York, NY
National Provider Identifier
1497083307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0287971
- Practice address
- 424 W 110TH St
Apt 19H
New York, NY 10025-2408 - Phone
- (917) 774-9997
- Fax
- (917) 599-0457
- NPI assigned
- Dec 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0287971 | NY | Primary |
Addresses
Primary practice location
424 W 110TH St
Apt 19H
New York, NY 10025-2408
Mailing address
424 W 110TH St
Apt 19H
New York, NY 10025-2408
Phone (917) 774-9997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0287971 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maestro Physical Therapy and Rehabilitation, P.C. | Physical Therapist | Past | Accepting new patients |
| Neal Mesnick, MD, LLC | Past | Accepting new patients | |
| Tedof3W Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Infinity Sports Medicine and Rehabilitation, PLLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- New York, NY
- NPI 1992230882
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1003961491
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1659611283
Physical Therapist
-
- Medical Specialty Clinic/Center
- New York, NY
- NPI 1821239336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1497083307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 W 110TH ST",
"address_2": "APT 19H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100252408",
"telephone_number": "917-774-9997",
"fax_number": "917-599-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 W 110TH ST",
"address_2": "APT 19H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100252408",
"telephone_number": "917-774-9997",
"fax_number": "917-599-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "MPT, MS ED, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-04",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0287971",
"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 Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.