NPIMap

Organization Active NPI

Theradynamics Rehab. PT, OT & SLP, PLLC

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1912463399
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THERADYNAMICS REHAB. PT, OT & SLP, PLLC
Practice address
280 W 231St St
Bronx, NY 10463-3940
Phone
(718) 514-6120
NPI assigned
Feb 11, 2019
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Jason Romano
Title
Cfo
Phone
(516) 224-5199

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

280 W 231St St
Bronx, NY 10463-3940

Mailing address

280 W 231St St
Bronx, NY 10463-3940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200512001530 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082045802 Receives reassigned benefits from 126 practitioners
Practice locations: Long Beach, NY; New York, NY; Richmond Hill, NY; Staten Island, NY; White Plains, NY; Jamaica, NY; Kings Park, NY; Bronx, NY…
O20230130001839 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082045802 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

2148 Bartow Ave
Bronx, NY 10475
Phone (718) 316-9191

247 E 138TH St
Bronx, NY 10451

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

991 Southern Blvd
Fl 2
Bronx, NY 10459
Phone (718) 750-9080

375 E Bay Dr
#1
Long Beach, NY 11561

1 Nagle Ave
New York, NY 10040
Phone (212) 928-7800

131 W 135th St
New York, NY 10030
Phone (212) 281-8678

153 Bennett Ave
New York, NY 10040
Phone (212) 928-7800

505 W 35th St
New York, NY 10001
Phone (929) 581-2050

13240 Metropolitan Ave
Richmond Hill, NY 11418
Phone (718) 376-1111

800 E Ross Ave
Cincinnati, OH 45217
Phone (513) 848-3215

Practitioners & affiliated clinicians

Practitioners 148

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 148

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1912463399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633940",
            "telephone_number": "718-514-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERADYNAMICS REHAB. PT, OT & SLP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2022-02-10",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-224-5199"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.