Executive Park Orthopedic & Sports Physical Therapy LLC
NPI 1649392283 · Orthopedic Physical Therapist · Yonkers, NY
Enrolled with Medicare as Dme Supplier - Independently-Practicing Physical Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Executive Park Orthopedic & Sports Physical Therapy LLC is a Orthopedic Physical Therapist organization in Yonkers, NY (NPI 1649392283).
Provider details
- NPI number
- 1649392283
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Ivan Hernandez, President(914) 509-4640
- License
- 023806 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2024-04-23
- Certified
- 2024-04-23
Frequently asked questions
- What is Executive Park Orthopedic & Sports Physical Therapy LLC's NPI number?
- Executive Park Orthopedic & Sports Physical Therapy LLC's National Provider Identifier (NPI) is 1649392283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Park Orthopedic & Sports Physical Therapy LLC?
- Executive Park Orthopedic & Sports Physical Therapy LLC is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Executive Park Orthopedic & Sports Physical Therapy LLC located?
- Executive Park Orthopedic & Sports Physical Therapy LLC's practice location on file with NPPES is 1034 N Broadway, Yonkers, NY 10701-1303.
- What is Executive Park Orthopedic & Sports Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Executive Park Orthopedic & Sports Physical Therapy LLC is (914) 509-4640.
- Does Executive Park Orthopedic & Sports Physical Therapy LLC accept Medicare?
- Executive Park Orthopedic & Sports Physical Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Executive Park Orthopedic & Sports Physical Therapy LLC?
- The authorized official listed on Executive Park Orthopedic & Sports Physical Therapy LLC's NPPES record is Ivan Hernandez, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Park Orthopedic & Sports Physical Therapy LLC's NPI active?
- Yes — Executive Park Orthopedic & Sports Physical Therapy LLC's NPI (1649392283) is active in the NPPES registry as of the last update on 2024-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.