Individual provider Active NPI

Russell Hartophilis, PHYSICAL THERAPIST

  • Physical Therapist
  • New York, NY
National Provider Identifier
1700835964
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009409 Issued in NY
Practice address
1221 Avenue of the Americas
Concourse Level
New York, NY 10020-1001
Phone
(646) 562-0617
Fax
(212) 302-1106
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 009409 NY Primary

Addresses

Primary practice location

1221 Avenue of the Americas
Concourse Level
New York, NY 10020-1001

Mailing address

1221 Avenue of the Americas
Concourse Level
New York, NY 10020-1001
Phone (646) 562-0617

Other practice location 1

52 Vanderbilt Ave
Suite 1413
New York, NY 10017-3808
Phone (212) 599-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080424000080 NY Practitioner - Physical Therapist in Private Practice 6800974387 Reassigns benefits to 1 organization
I20241031001759 NC Practitioner - Physical Therapist in Private Practice 6800974387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

835 Chair Rd
Castle Hayne, NC 28429-6592
Phone (910) 599-6433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009409NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Joint Inc Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Recovery Physical Therapy, P.C. Physical Therapist CurrentSince Mar 1, 2008 Accepting new patients
Recovery Physical Therapy Physical Therapist Past Accepting new patients

Locations

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

530 Fashion Ave
Rm 908
New York, NY 10018
Phone (212) 627-0593

200 Park Ave
New York, NY 10166
Phone (212) 953-9494

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1700835964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 AVENUE OF THE AMERICAS",
            "address_2": "CONCOURSE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201001",
            "telephone_number": "646-562-0617",
            "fax_number": "212-302-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 AVENUE OF THE AMERICAS",
            "address_2": "CONCOURSE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201001",
            "telephone_number": "646-562-0617",
            "fax_number": "212-302-1106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Vanderbilt Ave",
            "address_2": "Suite 1413",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100173808",
            "country_code": "US",
            "telephone_number": "212-599-0099",
            "fax_number": "212-599-0389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTOPHILIS",
        "first_name": "RUSSELL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009409",
            "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 Sep 25, 2018; 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.

Verify at the official NPI Registry.