Individual provider Active NPI

Evan Aschenbrand, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1821480435
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038371 Issued in NY
Practice address
139 E 57TH St
New York, NY 10022-2102
Phone
(212) 753-4767
Fax
(212) 753-4076
NPI assigned
Feb 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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 038371 NY Primary

Addresses

Primary practice location

139 E 57TH St
New York, NY 10022-2102

Mailing address

139 E 57TH St
New York, NY 10022-2102
Phone (212) 753-4767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318000520 NY Practitioner - Physical Therapist in Private Practice 5294052932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Sos PT PCGroup PAC ID 7214955533, 24 clinicians

Practice addresses (Care Compare)

483 10TH Ave
New York, NY 10018-1118
Phone (914) 400-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Sos PT PC Physical Therapist CurrentSince Feb 1, 2015 Accepting new patients

Locations

139 E 57th St
New York, NY 10022
Phone (212) 753-4767

1255 5th Ave
Apt 6L
New York, NY 10029
Phone (914) 390-0080

594 Broadway
#12
New York, NY 10012

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1821480435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222102",
            "telephone_number": "212-753-4767",
            "fax_number": "212-753-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222102",
            "telephone_number": "212-753-4767",
            "fax_number": "212-753-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCHENBRAND",
        "first_name": "EVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038371",
            "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, 2015; 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.