Active NPI
Stanley Varghese, PT
- Physical Therapist
- West Nyack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033414
- Practice address
- 2 Crosfield Ave
Suite 101
West Nyack, NY 10994-2226 - Phone
- (845) 358-8989
- Fax
- (845) 358-8985
- NPI assigned
- Jan 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033414 | NY | Primary |
Addresses
Primary practice location
2 Crosfield Ave
Suite 101
West Nyack, NY 10994-2226
Mailing address
14 Zabella Dr
New City, NY 10956-7148
Phone (845) 269-9863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111003000528 | NY | Practitioner - Physical Therapist in Private Practice | 6608048285 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Crosfield Ave
West Nyack, NY 10994-2226
Phone (845) 358-8989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033414 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportscare Physical Therapy of Ny, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115
2 Perlman Dr
Spring Valley, NY 10977
Phone (845) 371-2032
2 Crosfield Ave
Ste 101
West Nyack, NY 10994
Phone (845) 358-8989
2 Crosfield Ave
West Nyack, NY 10994
Phone (212) 725-8511
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 and National Provider Directory roles.
-
- Physical Therapist
- West Nyack, NY
- NPI 1003098138
NY, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1831494590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ZABELLA DR",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109567148",
"telephone_number": "845-269-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CROSFIELD AVE",
"address_2": "SUITE 101",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942226",
"telephone_number": "845-358-8989",
"fax_number": "845-358-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "STANLEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-11",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.