Organization Active NPI

Pulmonary Wellness Rehabilitation PTPC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1598833220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
012954 Issued in NY
Legal business name
PULMONARY WELLNESS REHABILITATION PTPC
Practice address
22 W 38TH St
4TH Floor
New York, NY 10018-6262
Phone
(212) 921-0214
Fax
(212) 921-0217
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Noah Greenspan, DPTNPI 1841359098
Title
Program Director
Phone
(212) 921-0214

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 012954 NY Primary

Addresses

Primary practice location

22 W 38TH St
4TH Floor
New York, NY 10018-6262

Mailing address

22 W 38TH St
4TH Floor
New York, NY 10018-6262
Phone (212) 921-0214

Other identifiers 1

IdentifierTypeStateIssuer
0207525MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000606 NY Part B Supplier - Clinic/Group Practice 1759565435 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

10 E 38th St
Fl 10
New York, NY 10016
Phone (212) 921-0214

22 W 38th St
Fl 2
New York, NY 10018
Phone (212) 921-0214

22 W 38th St
Fl 4
New York, NY 10018
Phone (212) 921-0214

6 E 39th St
Ste 401
New York, NY 10016
Phone (212) 921-0214

Practitioners & affiliated clinicians

Practitioners 2

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598833220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W 38TH ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186262",
            "telephone_number": "212-921-0214",
            "fax_number": "212-921-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W 38TH ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186262",
            "telephone_number": "212-921-0214",
            "fax_number": "212-921-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY WELLNESS REHABILITATION PTPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENSPAN",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "212-921-0214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "012954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207525",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.