Individual provider Active NPI

Andrew Rosenberg, PTDPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1508168295
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032274-1 Issued in NY
Practice address
1317 3Rd Ave
6TH Floor
New York, NY 10021-2995
Phone
(212) 288-2242
Fax
(212) 288-4388
NPI assigned
Dec 1, 2010
Last updated
Dec 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032274-1 NY Primary

Addresses

Primary practice location

1317 3Rd Ave
6TH Floor
New York, NY 10021-2995

Mailing address

1317 3Rd Ave
6TH Floor
New York, NY 10021-2995
Phone (212) 288-2242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210329000704 NY Practitioner - Physical Therapist in Private Practice 5698182236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Sports Performance Physical Therapy PCGroup PAC ID 8123163599, 3 clinicians

Practice addresses (Care Compare)

1399 Franklin Ave
Suite 102
Garden City, NY 11530-1625
Phone (516) 427-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032274-1NYMDPhysical Therapist
032274NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Sports Performance Physical Therapy PC CurrentSince Oct 28, 2025 Accepting new patients
Kanwarpaul S. Grewal Medical PLLC CurrentSince Mar 1, 2021 Accepting new patients
24 7 Ny Medical Health Provider PC PastSince Jan 3, 2021 Accepting new patients
Emh Physical Therapy PC Physical Therapist PastSince Nov 1, 2012 Accepting new patients

Locations

30 Merrick Ave
Ste 103
East Meadow, NY 11554
Phone (516) 743-9450

1399 Franklin Ave
Ste 102
Garden City, NY 11530
Phone (516) 427-5577

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1508168295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212995",
            "telephone_number": "212-288-2242",
            "fax_number": "212-288-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212995",
            "telephone_number": "212-288-2242",
            "fax_number": "212-288-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ANDREW",
        "credential": "PTDPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032274-1",
            "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 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.