Organization Active NPI

Progressive Physical Therapy of Ny, P.C.

  • Physical Therapy Clinic/Center
  • Mount Sinai, NY
National Provider Identifier
1811022759
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
015547 Issued in NY
Legal business name
PROGRESSIVE PHYSICAL THERAPY OF NY, P.C.
Practice address
28 N Country Rd
Suite 104
Mount Sinai, NY 11766-1518
Phone
(631) 331-6047
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Mr. Richard Leichter, MA,PTNPI 1417986969
Title
Owner
Phone
(631) 331-6047

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 015547 NY Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

28 N Country Rd
Suite 104
Mount Sinai, NY 11766-1518

Mailing address

81 Tallmadge TRL
Miller Place, NY 11764-2327
Phone (631) 473-6418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070305000733 NY Part B Supplier - Clinic/Group Practice 2567565997 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Sinai, NY

National Provider Directory

National Provider Directory

Locations

28 N Country Rd
Ste 104
Mount Sinai, NY 11766
Phone (631) 331-6047

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1811022759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 TALLMADGE TRL",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642327",
            "telephone_number": "631-473-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N COUNTRY RD",
            "address_2": "SUITE 104",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661518",
            "telephone_number": "631-331-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY OF NY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "LEICHTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-331-6047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA,PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "015547",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sinai, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.