Organization Active NPI

High Performance Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1669837183
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
035928 Issued in NY
Legal business name
HIGH PERFORMANCE PHYSICAL THERAPY PLLC
Practice address
138 5TH Ave FL 2
New York, NY 10011-4367
Phone
(212) 206-6400
Fax
(917) 591-3493
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Daniel A FleckNPI 1952749160
Title
President/Owner
Phone
(646) 490-4002

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 035928 NY Primary

Addresses

Primary practice location

138 5TH Ave FL 2
New York, NY 10011-4367

Mailing address

138 5TH Ave FL 2
New York, NY 10011-4367
Phone (646) 490-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200825000116 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517384472 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1669837183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114367",
            "telephone_number": "646-490-4002",
            "fax_number": "917-591-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114367",
            "telephone_number": "212-206-6400",
            "fax_number": "917-591-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PERFORMANCE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "FLECK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "646-490-4002"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "035928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.