Active NPI
Progressive Physical Therapy of Ny, P.C.
- Physical Therapy Clinic/Center
- Mount Sinai, NY
National Provider Identifier
1811022759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 015547
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Leichter, MA,PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Mount Sinai, NY
- NPI 1417986969
-
- Speech-Language Pathologist
- Miller Place, NY
- NPI 1922154129
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.