Centurion Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0174861 Issued in NY

Legal business name

CENTURION PHYSICAL THERAPY

Practice address

152 W 57TH St FL 6
New York, NY 10019-3310

Phone

(212) 799-6700

Fax

(212) 799-4533

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marcus Forman, D.P.T

Title

Owner

Phone

(212) 799-6700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Forman Physical Therapy Former legal business name

Practitioners 2

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

• Joanna Raine Binney, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1134737398
  NPD (past)
• Aubin Gay Sullivan, PT

  • Physical Therapist
  • New York, NY
  • NPI 1659468528
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1760506489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W 57TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193310",
            "telephone_number": "212-799-6700",
            "fax_number": "212-799-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W 57TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193310",
            "telephone_number": "212-799-6700",
            "fax_number": "212-799-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-799-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0174861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPISTS",
            "identifier": "1700082823",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "1346244878",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forman Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Forman Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.