NPIMap

Organization Active NPI

Functional Manual Physical Therapy Services

Doing business as Ipa Soho

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1770876278
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
021468 Issued in NY
Legal business name
FUNCTIONAL MANUAL PHYSICAL THERAPY SERVICES
Doing business as
Ipa Soho
Practice address
62 Crosby St
New York, NY 10012-4410
Phone
(212) 226-4816
Fax
(212) 226-4814
NPI assigned
May 17, 2011
Last updated
May 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Dr. Brad Gilden, DPT
Title
President
Phone
(212) 226-4816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 021468 NY Primary

Addresses

Primary practice location

62 Crosby St
New York, NY 10012-4410

Mailing address

62 Crosby St
New York, NY 10012-4410
Phone (212) 226-4816

Other names 1

  • IPA SOHO Doing business as

National Provider Directory

National Provider Directory

Locations

62 Crosby St
New York, NY 10012
Phone (212) 226-4816

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1770876278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CROSBY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124410",
            "telephone_number": "212-226-4816",
            "fax_number": "212-226-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CROSBY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124410",
            "telephone_number": "212-226-4816",
            "fax_number": "212-226-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL MANUAL PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "GILDEN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-226-4816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "021468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IPA SOHO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 17, 2011; 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.