Park Avenue Physical Therapy & Rehabilitation PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

023472-1 Issued in NY

Legal business name

PARK AVENUE PHYSICAL THERAPY & REHABILITATION PLLC

Practice address

40 Park Ave
Suite 5
New York, NY 10016-3467

Phone

(646) 288-1748

Fax

(212) 889-6150

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Joseph M Simon, PT, DPT

Title

Rehabilitation Director

Phone

(917) 309-2224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1669610341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARK AVE",
            "address_2": "SUITE 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163467",
            "telephone_number": "646-288-1748",
            "fax_number": "212-889-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK AVE",
            "address_2": "SUITE 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163467",
            "telephone_number": "646-288-1748",
            "fax_number": "212-889-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE PHYSICAL THERAPY & REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REHABILITATION DIRECTOR",
        "authorized_official_telephone_number": "917-309-2224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "023472-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Orthopaedics,P.C.
• Park Avenue Orthotics, Inc.
• Park Avenue Pediatrics of Manhattan, PC
• Park Avenue Perio-Prosthesis PC
• Park Avenue Periodontal Prosthesis Obs Facility
• Park Avenue Physical Therapy Services, PLLC
• Park Avenue Physicians New York PLLC
• Park Avenue Physicians PC
• Park Avenue Podiatric Care PLLC
• Park Avenue Podiatry Associates PC

• Orthopedic Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.