Active NPI
Russell Hartophilis, PHYSICAL THERAPIST
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009409 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Joint Inc | Physical Therapist | Current | Accepting new patients |
| Recovery Physical Therapy, P.C. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Larchmont, NY
- NPI 1821068446
-
- Physical Therapist
- Castle Hayne, NC
- NPI 1265252399
-
- Physical Therapist
- New York, NY
- NPI 1700919966
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.