EXECUTIVE PARK ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC
EXECUTIVE PARK ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1649392283, based in Yonkers, NY. It is classified under Orthopedic Physical Therapist.
Getting there
The practice address on file is 1034 N BROADWAY 2ND FLOOR, Yonkers, NY 10701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 023806 | NY | Orthopedic Physical Therapist primary |
This provider holds licence 023806 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Independently-practicing Physical Therapist
- PAC ID
- 4385818293
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| New York | O20111110000515 | Dme Supplier - Independently-practicing Physical Therapist |
| New York | O20180807002852 | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Independently-practicing Physical Therapist. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Orthopedic covers
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. NUCC Health Care Provider Taxonomy, code 2251X0800X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1649392283 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 4, 2007 |
| Last updated | Apr 23, 2024 |
| Status | Active |
| Practice address |
1034 N BROADWAY 2ND FLOOR Yonkers, NY 10701 (914) 509-4640 Fax (914) 509-4639 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 4 | 9 | 3 | 9 | 2 | 2 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 8 | 9 | 6 | 9 | 4 | 2 | 7 |
Sum = 77 · next multiple of 10 = 80 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.