Individual provider Active NPI

Louis Greenspan, PT

  • Physical Therapist
  • Far Rockaway, NY
National Provider Identifier
1598735425
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0059041 Issued in NY
Practice address
833 Central Ave
Ste CC
Far Rockaway, NY 11691-4652
Phone
(718) 327-7670
Fax
(718) 327-2863
NPI assigned
Jan 24, 2006
Last updated
Apr 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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 0059041 NY Primary

Addresses

Primary practice location

833 Central Ave
Ste CC
Far Rockaway, NY 11691-4652

Mailing address

833 Central Ave
Ste CC
Far Rockaway, NY 11691-4652
Phone (718) 327-7670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000042 NY Practitioner - Physical Therapist in Private Practice 7810048469 Practice locations: Lawrence, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0059041NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Physical & Occupational Therapy, PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1598735425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CENTRAL AVE",
            "address_2": "STE CC",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914652",
            "telephone_number": "718-327-7670",
            "fax_number": "718-327-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CENTRAL AVE",
            "address_2": "STE CC",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914652",
            "telephone_number": "718-327-7670",
            "fax_number": "718-327-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "LOUIS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0059041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.