OrganizationActive
Executive Park PT of Briarcliff LLC
NPI 1508102849 · Physical Medicine & Rehabilitation Physician · Briarcliff, NY
Provider details
- NPI number
- 1508102849
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melisa Nieli, Billing Manager(914) 346-5175
- License
- 023806
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
565 N State Rd
Briarcliff, NY 10510-1523
Phone: (914) 263-3280
Street-level locationGet directions
Mailing address
1034 N Broadway
Yonkers, NY 10701-1328
Registry dates
- Enumerated
- 2012-12-13
- Last updated
- 2012-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.