Individual provider Active NPI

Nathan C Tabor, DPT

  • Physical Therapist
  • Brewster, NY
National Provider Identifier
1912549411
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044538 Issued in NY
Practice address
185 Route 312 Ste 301B
Brewster, NY 10509-2377
Phone
(845) 279-9288
Fax
(845) 279-7701
NPI assigned
Oct 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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 044538 NY Primary

Addresses

Primary practice location

185 Route 312 Ste 301B
Brewster, NY 10509-2377

Mailing address

185 Route 312 Ste 301B
Brewster, NY 10509-2377
Phone (845) 279-9288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709001073 NY Practitioner - Physical Therapist in Private Practice 2769805746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1910 S Rd
Poughkeepsie, NY 12601-6027
Phone (845) 454-0120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044538NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aon Physical Therapy and Wellness, PLLC Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Mar 8, 2021 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Mar 8, 2021 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist PastSince Oct 20, 2019 Accepting new patients

Locations

185 Route 312
Ste 301B
Brewster, NY 10509
Phone (845) 279-9288

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

1955 Route 52
Hopewell Junction, NY 12533
Phone (845) 897-0170

918 Ulster Ave
Kingston, NY 12401
Phone (845) 339-8900

1910 South Rd
Poughkeepsie, NY 12601
Phone (845) 454-0120

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 4

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1912549411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ROUTE 312 STE 301B",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092377",
            "telephone_number": "845-279-9288",
            "fax_number": "845-279-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ROUTE 312 STE 301B",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092377",
            "telephone_number": "845-279-9288",
            "fax_number": "845-279-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "NATHAN",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.