Ospre PT, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020186 Issued in NY

Legal business name

OSPRE PT, PC

Practice address

30 Burda Ave
New City, NY 10956-1418

Phone

(845) 634-1625

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

Somsak K Vanichpong, PTNPI 1699813196

Title

President

Phone

(845) 634-1625

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Somsak Vanichpong

  • Physical Therapist
  • West Nyack, NY
  • NPI 1699813196
  Medicare reassignment Care Compare group NPD Authorized official
• Shoba Koshy Mammen, PT

  • Physical Therapist
  • Orangeburg, NY
  • NPI 1831119775
  Medicare reassignment Care Compare group NPD
• Manthana Phothisatean, PT, DPT

  • Physical Therapist
  • New City, NY
  • NPI 1417541889
  NPD (past)

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1831498245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURDA AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561418",
            "telephone_number": "845-634-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BURDA AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561418",
            "telephone_number": "845-634-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSPRE PT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "VANICHPONG",
        "authorized_official_first_name": "SOMSAK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-634-1625",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Onua, DNP, FNP-BC
• Ophthalmology Partners of Rockland, P.C.
• Ryan Adam Orlan
• Ann Damiani Orlando
• Erica T Ortiz, M.S., CCC-SLP
• Leslie Ossip, M.D.
• Osteopathic Treatment and Diagnostic Services, PC
• Anne Wolf Ostroff, PH.D.
• Pamela Suzan Ostrofsky, M.S.,P.T.
• Shari Lynn Ovadia-Kallenberg

• Physical Therapist in New City, NY
• Providers in New City, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.