Organization Active NPI

Smart Physical Therapy and Rehab PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1780238543
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SMART PHYSICAL THERAPY AND REHAB PLLC
Practice address
915 Broadway Ste 1106
New York, NY 10010-7127
Phone
(212) 333-4884
Fax
(212) 475-4443
NPI assigned
Jul 30, 2019
Last updated
Oct 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Renuka PintoNPI 1699927707
Title
Owner-Physical Therapist
Phone
(718) 406-3992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

915 Broadway Ste 1106
New York, NY 10010-7127

Mailing address

915 Broadway Ste 1106
New York, NY 10010-7127
Phone (212) 333-4884

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TurboPT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190912001198 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224367446 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

19 W 21st St
Rm 801
New York, NY 10010
Phone (212) 475-8104

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1780238543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BROADWAY STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107127",
            "telephone_number": "212-333-4884",
            "fax_number": "212-475-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BROADWAY STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107127",
            "telephone_number": "212-333-4884",
            "fax_number": "212-475-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART PHYSICAL THERAPY AND REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "PINTO",
        "authorized_official_first_name": "RENUKA",
        "authorized_official_title_or_position": "OWNER-PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-406-3992"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TurboPT",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "915 Broadway Ste 1106",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100107127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 3, 2019; 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.