Procore Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

018483-1 Issued in NY

Legal business name

PROCORE PHYSICAL THERAPY P.C.

Practice address

135 E Erie St
Suite 6
Blauvelt, NY 10913-1823

Phone

(845) 680-2673

Fax

(845) 680-2675

NPI assigned

Dec 31, 2015

Last updated

Dec 31, 2015By 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. Steven James McCune, MSPTNPI 1851448054

Title

Owner/Physical Therapist

Phone

(845) 680-2673

Specialties & licenses 1

Addresses

Other identifiers 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.

• Steven James McCune, MPT

  • Physical Therapist
  • Blauvelt, NY
  • NPI 1851448054
  NPD (past) Authorized official

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1649636978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E ERIE ST",
            "address_2": "SUITE 6",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131823",
            "telephone_number": "845-680-2673",
            "fax_number": "845-680-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E ERIE ST",
            "address_2": "SUITE 6",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131823",
            "telephone_number": "845-680-2673",
            "fax_number": "845-680-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCORE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "MCCUNE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-680-2673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "018483-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "Q2W2C1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Mark Pardo, DDS
• Tiffany Michelle Pereda, RN
• Andrew Charles Philip, PHD
• Physico-Connect PT PC
• Tracey E Polizzi, PH.D.
• Procore Physical Therapy, P.C.
• Restoredhealth LLC
• Gabriel Ello Reventar, PT
• Solmi Roh, L.AC., DIPL. OM.
• Allison Rubin, RN

• Physical Therapy Clinic/Center in Blauvelt, NY
• Providers in Blauvelt, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.