Orthopedic Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

0192091 Issued in NY

Legal business name

ORTHOPEDIC PHYSICAL THERAPY PC

Practice address

4128 71St St
Ste Ca
Woodside, NY 11377

Phone

(718) 874-6779

Fax

(718) 651-6373

NPI assigned

Apr 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Wong, MSPT OCS

Title

Director

Phone

(718) 874-6779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1013974476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 71ST ST",
            "address_2": "STE CA",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-874-6779",
            "fax_number": "718-651-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 71ST ST",
            "address_2": "STE CA",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-874-6779",
            "fax_number": "718-651-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-874-6779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0192091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omni Medical Group PLLC
• One to One Physical Therapy PC
• One to One Physical Therapy,PC
• Optimed Group Inc
• Jacob E Orbach, DDS
• Orthopedic Treatment Facility, Inc.
• Naydeen Ortiz, CF-SLP
• Ruth Oshodi
• Roshni Davi Ostrowski, LMSW
• OT Aspekt & Chiro PLLC

• Physical Therapy Clinic/Center in Woodside, NY
• Providers in Woodside, 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 Mar 5, 2013; 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.