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EXECUTIVE PARK ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC
NPI 1649392283
Physical Therapist - Orthopedic in Yonkers, NY

Active since April 04, 2007
1034 N BROADWAY, 2ND FLOOR, YONKERS, NY 10701(914) 509-4640(914) 509-4639 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Executive Park Orthopedic & Sports Physical Therapy Llc NPPES

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

EXECUTIVE PARK ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC (NPI 1649392283) is a healthcare organization registered as an orthopedic in Yonkers, New York and active in the NPI registry since April 2007. The organization lists Ivan Hernandez, President, as its authorized official.

NPPES Registry Identity

NPI1649392283
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameEXECUTIVE PARK ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC
Location Address1034 N BROADWAY, 2ND FLOORYonkers, NY 10701-1303
Mailing Address1034 N Broadway, 2nd FloorYonkers, NY 10701-1328 · (914) 509-4640 · Fax (914) 509-4639
Phone(914) 509-4640
Fax(914) 509-4639
Organization SubpartNo
Authorized OfficialIvan HernandezPresident · (914) 509-4640
Enumeration DateApril 4, 2007
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1649392283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in NY · 023806
Definition
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.
1034 N BROADWAY, Yonkers, NY 10701
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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXECUTIVE PARK PHYSICAL THERAPY
Physical Therapist
1034 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 509-4640
SHREYA GHIYA
Physical Therapist
1034 N BROADWAY
YONKERS, NY 10701
Westchester County (516) 605-7737
LITHOTRIPSIE ASSOCIATES LTD
Specialist
1034 N BROADWAY, 2ND FLOOR
YONKERS, NY 10701
Westchester County (914) 375-5700
MRS. LUZ ELIZABETH AGUIRRE COTA
Occupational Therapy Assistant
1034 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 377-8800
MARTIN GARY WERTKIN MD
Surgery
1034 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 965-2026
HARVEY LEFKOWITZ MD
Radiology (Diagnostic Radiology)
1034 N BROADWAY, SUITE 5
YONKERS, NY 10701
Westchester County (914) 969-1818
RUCHI THAKKAR PT
Physical Therapist
1034 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 509-4640
GAIL WILLIAMS
Occupational Therapy Assistant
1034 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 377-4879

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 Executive Park Orthopedic & Sports Physical Therapy LLC's NPI number?

The NPI number for Executive Park Orthopedic & Sports Physical Therapy LLC is 1649392283. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Executive Park Orthopedic & Sports Physical Therapy LLC located?

Executive Park Orthopedic & Sports Physical Therapy LLC is located at 1034 N Broadway 2nd Floor, Yonkers, NY 10701. The listed phone number is (914) 509-4640.

What is Executive Park Orthopedic & Sports Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Executive Park Orthopedic & Sports Physical Therapy LLC was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.