Organization Active NPI

Pact Physical Therapy, PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1811422371
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037363 Issued in NY
Legal business name
PACT PHYSICAL THERAPY, PLLC
Practice address
133 E 55TH St FL 2
New York, NY 10022-3502
Phone
(646) 290-6488
NPI assigned
Apr 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Mr. Clinton Courtney, MCEP
Title
Owner
Phone
(646) 290-6488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 037363 NY Primary

Addresses

Primary practice location

133 E 55TH St FL 2
New York, NY 10022-3502

Mailing address

133 E 55TH St FL 2
New York, NY 10022-3502
Phone (646) 290-6488

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1811422371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 55TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223502",
            "telephone_number": "646-290-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 55TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223502",
            "telephone_number": "646-290-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACT PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-290-6488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MCEP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037363",
            "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 Apr 21, 2017; 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.