Active NPI
Atom Physical Therapy PC
- Physical Therapist
- Bayside, NY
National Provider Identifier
1013314004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022858
- Legal business name
- ATOM PHYSICAL THERAPY PC
- Practice address
- 21008 Northern Blvd
Suite #1
Bayside, NY 11361-3211 - Phone
- (347) 408-4911
- Fax
- (347) 836-8098
- NPI assigned
- Nov 19, 2014
- Last updated
- Jun 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kuaihua Chiang, DPT
- Title
- President
- Phone
- (646) 207-5376
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 022858 | NY | |
| Physical Therapist | 225100000X | 022858 | NY | Primary |
Addresses
Primary practice location
21008 Northern Blvd
Suite #1
Bayside, NY 11361-3211
Mailing address
92 Ashbee LN
Ridgefield, CT 06877-4727
Phone (646) 207-5376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04095992 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21008 Northern Blvd
Ste 1
Bayside, NY 11361
Phone (347) 408-4911
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Bayside, NY
- NPI 1467534610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624147200000",
"number": "1013314004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 ASHBEE LN",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774727",
"telephone_number": "646-207-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21008 NORTHERN BLVD",
"address_2": "SUITE #1",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613211",
"telephone_number": "347-408-4911",
"fax_number": "347-836-8098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATOM PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-19",
"last_updated": "2021-06-20",
"certification_date": "2021-06-20",
"status": "A",
"authorized_official_last_name": "CHIANG",
"authorized_official_first_name": "KUAIHUA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-207-5376",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "022858",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04095992",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; 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.