Active NPI
Amy Polansky, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1720216658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017382-1
- Practice address
- 2465 Broadway
Front 1
New York, NY 10025-7486 - Phone
- (212) 877-2525
- Fax
- (212) 877-5767
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- 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 | 017382-1 | NY | Primary |
Addresses
Primary practice location
2465 Broadway
Front 1
New York, NY 10025-7486
Mailing address
2465 Broadway
Front 1
New York, NY 10025-7486
Phone (212) 877-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017382 | NY | MD | Counseling Psychologist |
| 017382-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
| Encompass Health Rehabilitation Hospital of Florence, Inc. | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 2
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
- Manlius, NY
- NPI 1912950072
-
- Rehabilitation Hospital
- Florence, SC
- NPI 1598738296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1720216658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 BROADWAY",
"address_2": "FRONT 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257486",
"telephone_number": "212-877-2525",
"fax_number": "212-877-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2465 BROADWAY",
"address_2": "FRONT 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257486",
"telephone_number": "212-877-2525",
"fax_number": "212-877-5767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANSKY",
"first_name": "AMY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017382-1",
"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 Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.