Individual provider Active NPI

John Astrab, MS PT OCS CSCS

  • Physical Therapist
  • Garrison, NY
National Provider Identifier
1942205158
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023964 Issued in NY
Practice address
1760 South Route 9
Garrison, NY 10524-3852
Phone
(845) 424-6422
NPI assigned
Jun 15, 2005
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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 023964 NY Primary

Addresses

Primary practice location

1760 South Route 9
Garrison, NY 10524-3852

Mailing address

1760 South Route 9
Garrison, NY 10524-3852
Phone (845) 424-6422

Other identifiers 13

IdentifierTypeStateIssuer
0013701OtherORTHONET AETNA HMO
0222701OtherORTHONET USFH
0222701OtherORTHONET CIGNA HMO
0222701OtherORTHONET HEALTHNET
3104338OtherAETNA HMO
7473440OtherAETNA PPO
109230200OtherUS DEPT OF LABOR
133542448OtherPHCS
133542448-17OtherFIRST HEALTH/ICM
133542448OtherPOMCO
5466920OtherCIGNA PPO
QP3601OtherNYEMPIRE BC/BS
133542448-02OtherLOCAL 1199

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasantville Physical Therapy Sports Care PC, Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1942205158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 SOUTH ROUTE 9",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "105243852",
            "telephone_number": "845-424-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 SOUTH ROUTE 9",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "105243852",
            "telephone_number": "845-424-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTRAB",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MS PT OCS CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET AETNA HMO",
            "identifier": "0013701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET USFH",
            "identifier": "0222701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET CIGNA HMO",
            "identifier": "0222701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET HEALTHNET",
            "identifier": "0222701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3104338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7473440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "109230200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "133542448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH/ICM",
            "identifier": "133542448-17",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "133542448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "5466920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "QP3601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 1199",
            "identifier": "133542448-02",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.