Organization Active NPI

Ny Total Body Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Astoria, NY
National Provider Identifier
1013256346
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
024998 Issued in NY
Legal business name
NY TOTAL BODY PHYSICAL THERAPY, PLLC
Practice address
3272 Steinway St
Ste B02
Astoria, NY 11103-9713
Phone
(718) 255-1086
Fax
(718) 255-6430
NPI assigned
Feb 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Ms. Anjie Ace Garciano Zozobrando
Title
Physical Therapist
Phone
(718) 255-1086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 024998 NY Primary

Addresses

Primary practice location

3272 Steinway St
Ste B02
Astoria, NY 11103-9713

Mailing address

3272 Steinway St
Ste B02
Astoria, NY 11103-9713
Phone (718) 255-1086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230621002635 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567820616 Receives reassigned benefits from 1 practitioner
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Locations

3272 Steinway St
Ste B02
Astoria, NY 11103
Phone (646) 744-8903

906 E 180th St
Ste 201
Bronx, NY 10460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1013256346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 STEINWAY ST",
            "address_2": "STE B02",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111039713",
            "telephone_number": "718-255-1086",
            "fax_number": "718-255-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 STEINWAY ST",
            "address_2": "STE B02",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111039713",
            "telephone_number": "718-255-1086",
            "fax_number": "718-255-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY TOTAL BODY PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "ZOZOBRANDO",
        "authorized_official_first_name": "ANJIE ACE",
        "authorized_official_middle_name": "GARCIANO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-255-1086",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "024998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.