Active NPI
Spine Sports Occupational Rehabilitation Associates, LLC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- New York, NY
National Provider Identifier
1992972004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- SPINE SPORTS OCCUPATIONAL REHABILITATION ASSOCIATES, LLC
- Practice address
- 317 E 34TH St
5TH Floor
New York, NY 10016-4974 - Phone
- (212) 263-6062
- Fax
- (212) 263-6096
- NPI assigned
- May 8, 2008
- 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
- Gerard Philip Varlotta, DO
- Title
- Owner
- Phone
- (212) 263-6062
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | |||
| Acupuncturist | 171100000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Spinal Cord Injury Medicine Physician | 2081P0004X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary |
Addresses
Primary practice location
317 E 34TH St
5TH Floor
New York, NY 10016-4974
Mailing address
317 E 34TH St
5TH Floor
New York, NY 10016-4974
Phone (212) 263-6062
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210204800000",
"number": "1992972004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 E 34TH ST",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164974",
"telephone_number": "212-263-6062",
"fax_number": "212-263-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 E 34TH ST",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164974",
"telephone_number": "212-263-6062",
"fax_number": "212-263-6096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE SPORTS OCCUPATIONAL REHABILITATION ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-08",
"last_updated": "2008-05-08",
"status": "A",
"authorized_official_last_name": "VARLOTTA",
"authorized_official_first_name": "GERARD",
"authorized_official_middle_name": "PHILIP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-263-6062",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.