Organization Active NPI

Riverdale Physical Therapy PC

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1538192067
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RIVERDALE PHYSICAL THERAPY PC
Practice address
2735 Henry Hudson Pkwy
Bronx, NY 10463-4701
Phone
(718) 884-0444
Fax
(718) 549-0145
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mr. Jerrold Mann, PTNPI 1093740003
Title
President
Phone
(718) 884-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2735 Henry Hudson Pkwy
Bronx, NY 10463-4701

Mailing address

2735 Henry Hudson Pkwy
Bronx, NY 10463-4701
Phone (718) 884-0444

Other identifiers 12

IdentifierTypeStateIssuer
0025501OtherNYORTHONET HEALTHNET
M4252POtherNYHIP
0030977OtherNYGHI
90478OtherNYAETNA
25501OtherNYORTHONET CIGNA
4C8041OtherNYHEALTHNET
Q10492OtherNYBLUE CROSS
0025501OtherNYORTHONET AETNA
000305900101OtherNYHEALTHPLUS
001395A81OtherNYHEALTHFIRST
GS016OtherNYOXFORD
000000058810OtherNYGHI HMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1538192067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 HENRY HUDSON PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634701",
            "telephone_number": "718-884-0444",
            "fax_number": "718-549-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 HENRY HUDSON PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634701",
            "telephone_number": "718-884-0444",
            "fax_number": "718-549-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-884-0444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "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": "ORTHONET HEALTHNET",
            "identifier": "0025501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "M4252P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0030977",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "90478",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET CIGNA",
            "identifier": "25501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "4C8041",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Q10492",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET AETNA",
            "identifier": "0025501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "000305900101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "001395A81",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "GS016",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000058810",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.