Active NPI
Park Avenue Physical Therapy & Rehabilitation PLLC
- Orthopedic Physical Therapist
- New York, NY
National Provider Identifier
1669610341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 023472-1
- 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
- Last updated
- Feb 3, 2009
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 023472-1 | NY | Primary |
Addresses
Primary practice location
40 Park Ave
Suite 5
New York, NY 10016-3467
Mailing address
40 Park Ave
Suite 5
New York, NY 10016-3467
Phone (646) 288-1748
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Physical Therapist
- New York, NY
- NPI 1831266253
NPI Registry JSON
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": []
}
Other providers in New York, NY
- 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 (Professional Corp)
Sources for this page
- 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.