Active NPI
Russell Zeiss
- Physical Therapist
- Mamaroneck, NY
National Provider Identifier
1780081745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038421
- Practice address
- 1053 W Boston Post Rd
Mamaroneck, NY 10543-3329 - Phone
- (914) 381-0203
- NPI assigned
- Nov 19, 2014
- Sex
- Male
- 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 | 038421 | NY | Primary |
Addresses
Primary practice location
1053 W Boston Post Rd
Mamaroneck, NY 10543-3329
Mailing address
333 Earle Ovington Blvd
Suite 225
Uniondale, NY 11553-3610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
124 Pelhamdale Ave
Apt 9a
Pelham, NY 10803-2246
Phone (718) 541-3541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Motion PT PLLC | Current | Accepting new patients | |
| Zeiss Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
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 Therapy Clinic/Center
- Pelham, NY
- NPI 1073308755
Physical Therapist
-
- Physical Therapy Clinic/Center
- New Rochelle, NY
- NPI 1609465897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1780081745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 EARLE OVINGTON BLVD",
"address_2": "SUITE 225",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115533610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 W BOSTON POST RD",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433329",
"telephone_number": "914-381-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEISS",
"first_name": "RUSSELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-19",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.