Active NPI
Nicholas Andrew Kirkpatrick
- Physical Therapist
- Old Greenwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10117
- Practice address
- 143 Sound Beach Ave
Old Greenwich, CT 06870-1736 - Phone
- (203) 817-0196
- Fax
- (203) 817-0199
- NPI assigned
- Jan 16, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Harrison, NY
- NPI 1396799409
NY, Physical Therapist
-
- Physical Therapist
- Clinton, IL
- NPI 1376917187
-
- Physical Therapist
- Peru, IN
- NPI 1750764494
-
- Physical Medicine & Rehabilitation Physician
- Kingston, NY
- NPI 1194295998
-
- Physical Medicine & Rehabilitation Physician
- Poughkeepsie, NY
- NPI 1548739956
-
- Physical Medicine & Rehabilitation Physician
- Rhinebeck, NY
- NPI 1922578723
-
- Internal Medicine Physician
- Old Greenwich, CT
- NPI 1184124075
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA
Practice addresses (Care Compare)
1311 Mamaroneck Ave
Suite 140
White Plains, NY 10605-5224
36 S Route 9W
Suite 2
West Haverstraw, NY 10993-1049
Phone (845) 579-5677
412 Market St
Nanuet, NY 10954-2744
Phone (914) 370-8071
550 Mamaroneck Ave
Suite 104
Harrison, NY 10528-1612
Phone (914) 777-3737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140520001278 | NY | Practitioner - Physical Therapist in Private Practice | 4981827979 | Reassigns benefits to 1 organization |
| I20140806001069 | CT | Practitioner - Physical Therapist in Private Practice | 4981827979 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Edra Stern MD LLC | Current | Accepting new patients | |
| Ivyrehab Network Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1455 E Putnam Ave
Ste 2
Old Greenwich, CT 06870
Phone (203) 661-4242
550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737
412 Market St
Nanuet, NY 10954
Phone (347) 741-3619
4175 Veterans Memorial Hwy
Ste 202
Ronkonkoma, NY 11779
4175 Veterans Memorial Hwy
Ronkonkoma, NY 11779
36 S Route 9W
Ste 2
West Haverstraw, NY 10993
Phone (845) 579-5677
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10117 | CT | Primary |
| Physical Therapist | 225100000X | 035225 | NY |
Addresses
NPPES NPI RegistryPrimary practice location
143 Sound Beach Ave
Old Greenwich, CT 06870-1736
Mailing address
4175 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7639
Phone (631) 580-5200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2014.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1659619294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 VETERANS MEMORIAL HWY",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797639",
"telephone_number": "631-580-5200",
"fax_number": "631-580-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 SOUND BEACH AVE",
"city": "OLD GREENWICH",
"state": "CT",
"postal_code": "068701736",
"telephone_number": "203-817-0196",
"fax_number": "203-817-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "NICHOLAS",
"middle_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-16",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "10117",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035225",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.