NPIMap

Organization Active NPI

Summit Sports & Spinal Physical Therapy

  • Physical Therapy Clinic/Center
  • Larchmont, NY
National Provider Identifier
1659322964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
17658 Issued in NY
Legal business name
SUMMIT SPORTS & SPINAL PHYSICAL THERAPY
Practice address
1420 Boston Post Rd
Larchmont, NY 10538-3922
Phone
(914) 834-5490
Fax
(914) 834-5402
NPI assigned
May 12, 2006
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
Mr. Kieran Traynor, PT, MSNPI 1811949316
Title
President
Phone
(914) 834-5490

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 17658 NY Primary

Addresses

Primary practice location

1420 Boston Post Rd
Larchmont, NY 10538-3922

Mailing address

5 Pilgrim Rd
Scarsdale, NY 10583-6725
Phone (914) 834-5490

National Provider Directory

National Provider Directory
Tax ID family
Kieran J Traynor PT PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659322964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PILGRIM RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836725",
            "telephone_number": "914-834-5490",
            "fax_number": "914-834-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383922",
            "telephone_number": "914-834-5490",
            "fax_number": "914-834-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPORTS & SPINAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAYNOR",
        "authorized_official_first_name": "KIERAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-834-5490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "17658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.