Individual provider Active NPI

Stanley Varghese, PT

  • Physical Therapist
  • West Nyack, NY
National Provider Identifier
1831494590
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033414 Issued in NY
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

Updated by the provider on Jan 11, 2011

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 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 IDStateProvider typePAC IDDetails
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
Sportscare Physical Therapy of Ny, P.C.Group PAC ID 8123102092, 19 clinicians

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

LicenseStateTypeSpecialty
033414NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Physical Therapy of Ny, P.C. Physical Therapist CurrentSince Jan 5, 2011 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.

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.

Verify at the official NPI Registry.