PROHEALTH AND FITNESS PT OT PLLC
NPI 1124344650
Physical Therapist in New York, NY
About Prohealth And Fitness Pt Ot Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROHEALTH AND FITNESS PT OT PLLC (NPI 1124344650) is a healthcare organization registered as a physical therapist in New York, New York and active in the NPI registry since April 2010. The organization lists James Nussbaum, Clinical Director, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prohealth And Fitness Pt Ot Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
37Medicare enrollment records show 37 clinicians reassign Medicare billing to Prohealth And Fitness Pt Ot PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 37Source: 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 Prohealth And Fitness Pt Ot PLLC's NPI number?
The NPI number for Prohealth And Fitness Pt Ot PLLC is 1124344650. It was assigned to this organization in the NPPES registry on April 8, 2010.
Where is Prohealth And Fitness Pt Ot PLLC located?
Prohealth And Fitness Pt Ot PLLC is located at 180 W End Ave Apt 1M, New York, NY 10023. The listed phone number is (212) 600-4781.
What is Prohealth And Fitness Pt Ot PLLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Prohealth And Fitness Pt Ot PLLC enrolled in Medicare?
Yes. Prohealth And Fitness Pt Ot PLLC is registered in the Medicare PECOS enrollment system.
When is Prohealth And Fitness Pt Ot PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Prohealth And Fitness Pt Ot PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 2 Medicare specialties reassign their Medicare billing to Prohealth And Fitness Pt Ot PLLC. 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. The largest specialties are Physical Therapist in Private Practice (26) and Occupational Therapist in Private Practice (11). Of these, 1 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Prohealth And Fitness Pt Ot PLLC was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.