Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PROFESSIONAL ORTHOPEDIC & SPORTS PT
Active
Organization
PROFESSIONAL ORTHOPEDIC & SPORTS PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN BRUSH (REGIONAL BUSINESS MANAGER)
(631) 359-5805
Entity
Organization
Contact information
Practice address
54 MURRAY ST, EQUINOX, NEW YORK, NY 10007-2219
(212) 453-4622
(212) 453-4621
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5800
(631) 396-0865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012833
NY
Other
Enumeration date
03/22/2007
Last updated
03/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up