Organization Active NPI

Yuri Usher PT PC

  • Physical Therapy Clinic/Center
  • Lawrence, NY
National Provider Identifier
1578645016
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
013636 Issued in NY
Legal business name
YURI USHER PT PC
Practice address
114 Hards LN
Lawrence, NY 11559-1315
Phone
(516) 650-5756
Fax
(516) 239-1903
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mr. Yuri Usher, P.T.NPI 1043408461
Title
Director
Phone
(516) 650-5756

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 Therapy Clinic/Center 261QP2000X 013636 NY Primary

Addresses

Primary practice location

114 Hards LN
Lawrence, NY 11559-1315

Mailing address

114 Hards LN
Lawrence, NY 11559-1315
Phone (516) 650-5756

Other names 1

  • Optimal Rehabilitation PT PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081222000425 NY Part B Supplier - Clinic/Group Practice 5799847943 Receives reassigned benefits from 2 practitioners
Practice locations: Cedarhurst, NY; Lawrence, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1578645016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HARDS LN",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591315",
            "telephone_number": "516-650-5756",
            "fax_number": "516-239-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HARDS LN",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591315",
            "telephone_number": "516-650-5756",
            "fax_number": "516-239-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YURI USHER PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-650-5756",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "013636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Rehabilitation PT PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.