NPIMap

Organization Active NPI

Pediatric Physical and Occupational Therapy of Hudson Valley, PLLC

  • Pediatric Physical Therapist
  • Nanuet, NY
National Provider Identifier
1831418359
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
010962-1 Issued in NY
Legal business name
PEDIATRIC PHYSICAL AND OCCUPATIONAL THERAPY OF HUDSON VALLEY, PLLC
Practice address
160 E Route 59
Nanuet, NY 10954-2918
Phone
(845) 362-7877
Fax
(845) 362-7788
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Mrs. Linda H Fuller, PT
Title
President
Phone
(845) 362-7787

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 010962-1 NY Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 009738-1 NY
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

160 E Route 59
Nanuet, NY 10954-2918

Mailing address

160 E Route 59
Nanuet, NY 10954-2918
Phone (845) 362-7877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190315000058 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628318300 Receives reassigned benefits from 4 practitioners
Practice locations: Nanuet, NY

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Physical and Occupational Therapy of Hudson Valley PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 E Route 59
Nanuet, NY 10954
Phone (845) 362-7787

873 Route 45
Ste 107
New City, NY 10956
Phone (845) 362-7787

Practitioners & affiliated clinicians

Practitioners 7

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": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1831418359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E ROUTE 59",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542918",
            "telephone_number": "845-362-7877",
            "fax_number": "845-362-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ROUTE 59",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542918",
            "telephone_number": "845-362-7877",
            "fax_number": "845-362-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICAL AND OCCUPATIONAL THERAPY OF HUDSON VALLEY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-362-7787",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "010962-1",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "009738-1",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.