Tricare Physical Therapy PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TRICARE PHYSICAL THERAPY PC

Practice address

460 Old Post Rd
Suite 1C
Bedford, NY 10506-1070

Phone

(914) 234-8800

Fax

(914) 234-8803

NPI assigned

Sep 9, 2011

Last updated

Jan 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Sirkin, PTNPI 1336132976

Title

Owner

Phone

(914) 234-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Mark Sirkin, PT

  • Physical Therapist
  • Bedford, NY
  • NPI 1336132976

  Specialist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610755200000",
    "number": "1578845137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 OLD POST RD",
            "address_2": "SUITE 1C",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061070",
            "telephone_number": "914-234-8800",
            "fax_number": "914-234-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 OLD POST RD",
            "address_2": "SUITE 1C",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061070",
            "telephone_number": "914-234-8800",
            "fax_number": "914-234-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A",
        "authorized_official_last_name": "SIRKIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-234-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allida Stauber, MSW LCSW
• Sharon D Stern, RPH
• Alexandra Stone, PHD, PH.D.
• Lauren Stricof, MA EDM
• Eugene Michael Tedaldi Sr., DDS
• Marion N Vanson, LPN
• Allan Wattenmaker, D.C.
• Janet Handelman Weingarden, MA
• Westfield Speech Solutions
• Alexandra White

• Specialist in Bedford, NY
• Providers in Bedford, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.