NPIMap

Organization Active NPI

Propel Physical Therapy PC

  • Physical Therapist
  • Greenvale, NY
National Provider Identifier
1619519972
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROPEL PHYSICAL THERAPY PC
Practice address
15 Waldo Ave
Greenvale, NY 11548-1310
Phone
(516) 578-0361
Fax
(516) 621-0363
NPI assigned
Oct 8, 2019
Last updated
Oct 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Antonio Zaino
Title
Office Manager
Phone
(516) 578-0361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

15 Waldo Ave
Greenvale, NY 11548-1310

Mailing address

15 Waldo Ave
Greenvale, NY 11548-1310
Phone (516) 578-0361

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191209001462 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345673190 Receives reassigned benefits from 1 practitioner
Practice locations: Greenvale, NY

National Provider Directory

National Provider Directory

Locations

1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010

Practitioners & affiliated clinicians

Practitioners 86

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.

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1619519972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WALDO AVE",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481310",
            "telephone_number": "516-578-0361",
            "fax_number": "516-621-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WALDO AVE",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481310",
            "telephone_number": "516-578-0361",
            "fax_number": "516-621-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPEL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "ZAINO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-578-0361"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.