Organization Active NPI

Energetic Physical Therapy

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1710361639
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ENERGETIC PHYSICAL THERAPY
Practice address
279 W 117TH St
Apt 5F
New York, NY 10026-2109
Phone
(646) 234-5689
NPI assigned
Jul 10, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Eli Rotblat
Title
PT
Phone
(646) 234-5689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

279 W 117TH St
Apt 5F
New York, NY 10026-2109

Mailing address

279 W 117TH St
Apt 5F
New York, NY 10026-2109
Phone (646) 234-5689

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1710361639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 W 117TH ST",
            "address_2": "APT 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262109",
            "telephone_number": "646-234-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 W 117TH ST",
            "address_2": "APT 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262109",
            "telephone_number": "646-234-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGETIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "ROTBLAT",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "646-234-5689"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.