Active NPI
Ray Anthony Northern, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1598029522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034958
- Practice address
- 1221 Avenue of the Americas
New York, NY 10020-1001 - Phone
- (646) 562-0617
- Fax
- (212) 302-1106
- NPI assigned
- Jun 25, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 034958 | NY | Primary |
Addresses
Primary practice location
1221 Avenue of the Americas
New York, NY 10020-1001
Mailing address
1221 Avenue of the Americas
New York, NY 10020-1001
Phone (646) 562-0617
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1598029522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 AVENUE OF THE AMERICAS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100201001",
"telephone_number": "646-562-0617",
"fax_number": "212-302-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 AVENUE OF THE AMERICAS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100201001",
"telephone_number": "646-562-0617",
"fax_number": "212-302-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHERN",
"first_name": "RAY",
"middle_name": "ANTHONY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Northern Manhattan PT PLLC
- Northern Manhatten Womens Health, an OB/GYN P.C.
- Northern Medical Services, PLLC
- Northern Shores Behavioral Health Services, P.C.
- Northern Valley ENT & Facial Plastics
- Northland Hearing Centers, Inc.
- Bianka Andrea Northland
- Alyssa Northrop, MFA, LP CANDIDATE
- Northrup Medical Supply
- Northside Center for Child Development
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.