Individual provider Active NPI

Jeffrey Drukin, PT

  • Physical Therapist
  • Stamford, CT
National Provider Identifier
1942295407
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022084 Issued in NY
Practice address
1281 E Main St
Stamford, CT 06902-3544
Phone
(203) 210-2840
Fax
(203) 210-2841
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12021 CT
Physical Therapist 225100000X 022084 NY Primary

Addresses

Primary practice location

1281 E Main St
Stamford, CT 06902-3544

Mailing address

2700 Westchester Ave
Purchase, NY 10577-2547
Phone (914) 607-5730

Other identifiers 2

IdentifierTypeStateIssuer
04913475MedicaidNY
1942295407MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141107001250 NY Practitioner - Physical Therapist in Private Practice 8325260284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3153 Albany Post Rd
Buchanan, NY 10511-1668
Phone (917) 737-2701

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Nov 1, 2017 Accepting new patients
Cor Sports Physical Therapy, LLP Physical Therapist CurrentSince Dec 19, 2020 Accepting new patients
Optum Medical Care, P.C. CurrentSince Nov 1, 2017 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

130 Business Park Dr
Armonk, NY 10504
Phone (914) 273-3413

3153 Albany Post Rd
Buchanan, NY 10511
Phone (914) 737-2701

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

3680 Hill Blvd
Jefferson Valley, NY 10535
Phone (914) 245-7700

3144 E Main St
Mohegan Lake, NY 10547
Phone (845) 204-9500

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

5958 Route 25A
Wading River, NY 11792
Phone (631) 804-9410

Philadelphia, PA 19195

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1942295407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "914-607-5730",
            "fax_number": "914-457-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 E MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023544",
            "telephone_number": "203-210-2840",
            "fax_number": "203-210-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUKIN",
        "first_name": "JEFFREY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12021",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04913475",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942295407",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.