Active NPI
Mary Piltz, PT
- Specialist
- New York, NY
National Provider Identifier
1871501114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 005940
- Practice address
- 133 E 58TH St
Suite #1201
New York, NY 10022-1236 - Phone
- (212) 980-7636
- Fax
- (212) 980-5863
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 005940 | NY | Primary |
Addresses
Primary practice location
133 E 58TH St
Suite #1201
New York, NY 10022-1236
Mailing address
133 E 58TH St
Suite #1201
New York, NY 10022-1236
Phone (212) 980-7636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
815 2ND Ave
RM 701
New York, NY 10017-4500
Phone (212) 499-0848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005940 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H&D Dynamic Physical & Occupational Therapy, PLLC | Current | Accepting new patients |
Locations
62 E 88th St
Lowr
New York, NY 10128
Phone (212) 369-9200
815 2nd Ave
Rm 701
New York, NY 10017
Phone (646) 656-0156
Organizations & group practices 2
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
- New York, NY
- NPI 1235174228
-
- Physical Therapist
- New York, NY
- NPI 1699926139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871501114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 E 58TH ST",
"address_2": "SUITE #1201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221236",
"telephone_number": "212-980-7636",
"fax_number": "212-980-5863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E 58TH ST",
"address_2": "SUITE #1201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221236",
"telephone_number": "212-980-7636",
"fax_number": "212-980-5863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILTZ",
"first_name": "MARY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "005940",
"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 Jul 8, 2007; 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.