Eversharp Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

012611 Issued in NY

Legal business name

EVERSHARP PHYSICAL THERAPY PC

Practice address

7215 Grand Ave
Maspeth, NY 11378-1525

Phone

(718) 803-2058

Fax

(718) 426-9155

NPI assigned

Feb 14, 2007

Last updated

Aug 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Distefano, PT

Title

Owner

Phone

(718) 803-2058

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1003959941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781525",
            "telephone_number": "718-803-2058",
            "fax_number": "718-426-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781525",
            "telephone_number": "718-803-2058",
            "fax_number": "718-426-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSHARP PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "DISTEFANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-803-2058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "012611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bless Enolpe, OTR/L
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• Hyacinth Jane Esmas, PT
• Sulleza Estevez, MSW
• Express Supply 8 Inc
• Josephine Nicole Ezzo, M.A., CCC-SLP
• Patricia Anne Fallon, RN
• Zoralis Felix
• Dayna Ferran, CCC-SLP

• Physical Therapy Clinic/Center in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.