NPIMap

Organization Active NPI

Pelvic Group PT PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1730739640
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PELVIC GROUP PT PLLC
Practice address
315 Madison Ave Ste 2100
New York, NY 10017-5457
Phone
(929) 269-2505
Fax
(929) 290-0350
NPI assigned
Sep 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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

Authorized official

Name
Evan Lafemina
Title
Billing Manager
Phone
(631) 741-3369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

315 Madison Ave Ste 2100
New York, NY 10017-5457

Mailing address

315 Madison Ave Ste 2100
New York, NY 10017-5457
Phone (929) 269-2505

Other practice location 1

286 Madison Ave Ste 1601
New York, NY 10017-6374
Phone (631) 741-3369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200128001375 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678909363 Receives reassigned benefits from 11 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

139 Fulton St
Rm 1012
New York, NY 10038
Phone (208) 907-1572

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629590400000",
    "number": "1730739640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE STE 2100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175457",
            "telephone_number": "929-269-2505",
            "fax_number": "888-714-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE STE 2100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175457",
            "telephone_number": "929-269-2505",
            "fax_number": "929-290-0350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "286 Madison Ave Ste 1601",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176374",
            "country_code": "US",
            "telephone_number": "631-741-3369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PELVIC GROUP PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "LAFEMINA",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-741-3369"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "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 Aug 22, 2021; 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.