Active NPI
Timothy William Pelrine, PT, DPT
- Physical Therapist
- Briarcliff Manor, NY
National Provider Identifier
1891355160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11294
- Practice address
- 515 N State Rd
Briarcliff Manor, NY 10510-1571 - Phone
- (914) 488-5763
- NPI assigned
- Jun 18, 2019
- 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 | 11294 | CT | Primary |
Addresses
Primary practice location
515 N State Rd
Briarcliff Manor, NY 10510-1571
Mailing address
40 Austin Rd
Mahopac, NY 10541-4802
Phone (603) 913-7658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11294 | CT | MD | Clinical Social Worker |
| 044454 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1891355160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 AUSTIN RD",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105414802",
"telephone_number": "603-913-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N STATE RD",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "105101571",
"telephone_number": "914-488-5763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELRINE",
"first_name": "TIMOTHY",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-18",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "11294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Briarcliff Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.