Individual provider Active NPI

Scott A Weiss, DPT, ATC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1780611293
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023860-1 Issued in NY
Practice address
1301 Avenue of the Americas
Paramount Wellness / Concourse Level
New York, NY 10019-6022
Phone
(347) 507-5877
Fax
(347) 507-5877
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 023860-1 NY Primary

Addresses

Primary practice location

1301 Avenue of the Americas
Paramount Wellness / Concourse Level
New York, NY 10019-6022

Mailing address

1301 Avenue of the Americas
Paramount Wellness / Concourse Level
New York, NY 10019-6022
Phone (347) 507-5877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405000035 NY Practitioner - Physical Therapist in Private Practice 6305839788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023860-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodhizone for Human Performance & Sports Physical Therapy, P.C. Physical Therapist CurrentSince Mar 17, 2016 Accepting new patients
Fifth Avenue Physical Therapy and Wellness PC Physical Therapist Current Accepting new patients
Bodhimotion LLC Physical Therapist Past Accepting new patients
Active Chiropractic and Physical Therapy, PLLC Physical Therapist Past Accepting new patients

Locations

280 Madison Ave
Rm 810
New York, NY 10016
Phone (212) 529-5700

1301 Avenue of the Americas
New York, NY 10019
Phone (347) 507-5877

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1780611293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 AVENUE OF THE AMERICAS",
            "address_2": "PARAMOUNT WELLNESS / CONCOURSE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196022",
            "telephone_number": "347-507-5877",
            "fax_number": "347-507-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 AVENUE OF THE AMERICAS",
            "address_2": "PARAMOUNT WELLNESS / CONCOURSE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196022",
            "telephone_number": "347-507-5877",
            "fax_number": "347-507-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023860-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 18, 2024; 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.