Individual provider Active NPI

Vincent Beatty, DPT

  • Physical Therapist
  • Jefferson Valley, NY
National Provider Identifier
1801207246
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037613 Issued in NY
Practice address
600 Bank Rd
Jefferson Valley, NY 10535-1511
Phone
(914) 245-8807
NPI assigned
May 19, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA 385 clinicians

Practice addresses (Care Compare)

600 Bank Rd
Jefferson Valley, NY 10535-1511
Phone (914) 245-8807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140716000846 NY Practitioner - Physical Therapist in Private Practice 2062637655 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037613NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Jul 6, 2020 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Jul 6, 2020 Accepting new patients

Locations

584 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 762-2222

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

600 Bank Rd
Jefferson Vly, NY 10535
Phone (914) 245-8807

195 N Bedford Rd
Mount Kisco, NY 10549
Phone (914) 241-2688

175 Memorial Hwy
Ste 2
New Rochelle, NY 10801
Phone (914) 235-5354

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

3535 Hill Blvd
Ste P
Yorktown Heights, NY 10598
Phone (914) 962-2728

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037613 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

600 Bank Rd
Jefferson Valley, NY 10535-1511

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other practice location 1

223 Katonah Ave
Ste C
Katonah, NY 10536-2146
Phone (914) 232-1480

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2021.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1801207246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BANK RD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351511",
            "telephone_number": "914-245-8807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Katonah Ave",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Katonah",
            "state": "NY",
            "postal_code": "105362146",
            "country_code": "US",
            "telephone_number": "914-232-1480",
            "fax_number": "914-232-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "VINCENT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.

Verify at the official NPI Registry.