Paradigm Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

024310 Issued in NY

Legal business name

PARADIGM PHYSICAL THERAPY, P.C.

Practice address

1556 3Rd Ave
Suite 211
New York, NY 10128-3100

Phone

(201) 780-9691

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Justin B Gornell, PT, DPT, OCSNPI 1770550915

Title

President

Phone

(201) 780-9691

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Justin B Gornell, DPT, OCS

  • Physical Therapist
  • New York, NY
  • NPI 1770550915
  Medicare reassignment NPD Authorized official
• Joseph Castelli, PT

  • Physical Therapist
  • New York, NY
  • NPI 1003880048
  Medicare reassignment NPD
• Nicole Fritz, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1457611592
  NPD (past)

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1689904807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VALLEY RD",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011435",
            "telephone_number": "201-780-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 3RD AVE",
            "address_2": "SUITE 211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283100",
            "telephone_number": "201-780-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "GORNELL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-780-9691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "024310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parachute Health, LLC
• Wilber Parada Iraheta
• German Jorge Parada, D.D.S.
• Melany Parada
• Paradigm Health Inc
• Jaclyn Paradis
• Jean-Michel Paradis, MD
• Ava Paradise
• Luna Paradise, LMSW
• Summer Paradise, M.D.

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.