Organization Active NPI

Madison Physical Therapy of Rockland PLLC

  • Physical Therapist
  • Spring Valley, NY
National Provider Identifier
1780273953
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MADISON PHYSICAL THERAPY OF ROCKLAND PLLC
Practice address
60 N Madison Ave
Spring Valley, NY 10977-4811
Phone
(845) 414-9115
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Chandrashekhar Ardesana, PT
Title
Owner
Phone
(845) 414-9115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

60 N Madison Ave
Spring Valley, NY 10977-4811

Mailing address

60 N Madison Ave
Spring Valley, NY 10977-4811
Phone (845) 414-9115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1780273953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N MADISON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774811",
            "telephone_number": "845-414-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N MADISON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774811",
            "telephone_number": "845-414-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PHYSICAL THERAPY OF ROCKLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "ARDESANA",
        "authorized_official_first_name": "CHANDRASHEKHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-414-9115",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.