BRONX PARK REHABILITATION & SPORTS MEDICINE PC
NPI 1053526509
Specialist in Bronx, NY

Active since May 10, 2007
2016 BRONXDALE AVE, SUITE 101, BRONX, NY 10462(718) 918-9702(845) 942-8623 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bronx Park Rehabilitation & Sports Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRONX PARK REHABILITATION & SPORTS MEDICINE PC (NPI 1053526509) is a healthcare organization registered as a specialist in Bronx, New York and active in the NPI registry since May 2007. The organization lists Sudha Akkapeddi, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1053526509
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBRONX PARK REHABILITATION & SPORTS MEDICINE PC
Location Address2016 BRONXDALE AVE, SUITE 101Bronx, NY 10462-3388
Mailing Address2016 Bronxdale Ave, Suite 101Bronx, NY 10462-3388 · (718) 918-9702 · Fax (845) 942-8623
Fax(845) 942-8623
Organization SubpartNo
Authorized OfficialSudha AkkapeddiSupervisor · (718) 430-7605
Enumeration DateMay 10, 2007
Last NPPES UpdateMarch 24, 2015
✔ NPI 1053526509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 205629
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2016 BRONXDALE AVE, Bronx, NY 10462

Other Identifiers 1

Medicare PIN22Z231NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bronx Park Rehabilitation & Sports Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bronx Park Rehabilitation & Sports Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1043375314
2016 BRONXDALE AVE SUITE 101
Bronx, NY 10462
(718) 918-1102
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bronx Park Rehabilitation & Sports Medicine PC's NPI number?

The NPI number for Bronx Park Rehabilitation & Sports Medicine PC is 1053526509. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Bronx Park Rehabilitation & Sports Medicine PC located?

Bronx Park Rehabilitation & Sports Medicine PC is located at 2016 Bronxdale Ave Suite 101, Bronx, NY 10462. The listed phone number is (718) 918-9702.

What is Bronx Park Rehabilitation & Sports Medicine PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bronx Park Rehabilitation & Sports Medicine PC enrolled in Medicare?

Yes. Bronx Park Rehabilitation & Sports Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bronx Park Rehabilitation & Sports Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Bronx Park Rehabilitation & Sports Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bronx Park Rehabilitation & Sports Medicine PC was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.