Individual provider Active NPI

Parker Engelmann, PT, DPT, CSCS

  • Physical Therapist
  • New York, NY
National Provider Identifier
1811752777
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
052050 Issued in NY
Practice address
1995 Broadway FL 14
New York, NY 10023-5882
Phone
(212) 712-2006
NPI assigned
Feb 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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 052050 NY Primary

Addresses

Primary practice location

1995 Broadway FL 14
New York, NY 10023-5882

Mailing address

1139 49TH Ave Apt 104
Long Island City, NY 11101-1507
Phone (818) 486-2995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301001516 NY Practitioner - Physical Therapist in Private Practice 5597100495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Services of Flatiron PCGroup PAC ID 1759784085, 112 clinicians

Practice addresses (Care Compare)

138 5TH Ave
FL 2
New York, NY 10011-4367
Phone (212) 287-4257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052050NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
S2 Physical Therapy P.C. Physical Therapist CurrentSince Feb 20, 2024 Accepting new patients

Locations

1 Bridge St
Ste 71
Irvington, NY 10533
Phone (914) 375-3434

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

1995 Broadway
Fl 14
New York, NY 10023
Phone (212) 712-2006

1995 Broadway
Fl 15
New York, NY 10023
Phone (212) 712-2006

Organizations & group practices 2

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1811752777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 49TH AVE APT 104",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011507",
            "telephone_number": "818-486-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 BROADWAY FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235882",
            "telephone_number": "212-712-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELMANN",
        "first_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052050",
            "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 Feb 19, 2024; 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.