Active NPI
Theramax Rehabilitation & Sports Physical Therapy PLLC
- Physical Therapist
- Ardsley, NY
National Provider Identifier
1952519084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018137-1
- Legal business name
- THERAMAX REHABILITATION & SPORTS PHYSICAL THERAPY PLLC
- Practice address
- 631 Saw Mill River Rd
Suite 1N
Ardsley, NY 10502-2146 - Phone
- (914) 693-6377
- Fax
- (914) 693-6384
- NPI assigned
- May 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Martin McKillop, PT
- Title
- PT , Owner
- Phone
- (914) 693-6377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018137-1 | NY | Primary |
Addresses
Primary practice location
631 Saw Mill River Rd
Suite 1N
Ardsley, NY 10502-2146
Mailing address
631 Saw Mill River Rd
Suitw 1N
Ardsley, NY 10502-2146
Phone (914) 693-6377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
631 Saw Mill River Rd
Ste 1N
Ardsley, NY 10502
Phone (914) 693-6377
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Ardsley, NY
- NPI 1154448777
-
- Physical Therapist
- Ardsley, NY
- NPI 1235386749
-
- Physical Therapist
- Bronx, NY
- NPI 1396956520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952519084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 SAW MILL RIVER RD",
"address_2": "SUITW 1N",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105022146",
"telephone_number": "914-693-6377",
"fax_number": "914-693-6384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 SAW MILL RIVER RD",
"address_2": "SUITE 1N",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105022146",
"telephone_number": "914-693-6377",
"fax_number": "914-693-6384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAMAX REHABILITATION & SPORTS PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCKILLOP",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "PT , OWNER",
"authorized_official_telephone_number": "914-693-6377",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "018137-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardsley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.