Atv Rehab PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038749 Issued in NY

Legal business name

ATV REHAB PT PC

Practice address

8540 54TH Ave
Elmhurst, NY 11373-4333

Phone

(929) 342-9846

NPI assigned

Feb 2, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adrian Torres Villamor, PT

Title

President

Phone

(929) 342-9846

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1003354762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 54TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 54TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734333",
            "telephone_number": "929-342-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATV REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "VILLAMOR",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "TORRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-342-9846",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.