Achieve PT OT SLP PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031038 Issued in NY

Legal business name

ACHIEVE PT OT SLP PLLC

Practice address

776 University St
Valley Stream, NY 11581-3518

Phone

(516) 220-0649

Fax

(516) 569-1901

NPI assigned

Mar 18, 2015

Last updated

Mar 18, 2015By 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

Yitzchok Kolodny, DPTNPI 1285871095

Title

Owner

Phone

(516) 220-0649

Specialties & licenses 3

Addresses

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.

• Yitzchok Kolodny, PT

  • Physical Therapist
  • Boynton Beach, FL
  • NPI 1285871095
  NPD (past) Authorized official

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1023401841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 UNIVERSITY ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813518",
            "telephone_number": "516-220-0649",
            "fax_number": "516-569-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 UNIVERSITY ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813518",
            "telephone_number": "516-220-0649",
            "fax_number": "516-569-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE PT OT SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "KOLODNY",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-220-0649",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031038",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "002989",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Francis Acquaye
• Katherine Christina Acurio, LPN
• Ada Chiropractic PC

• Physical Therapist in Valley Stream, NY
• Providers in Valley Stream, 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 Mar 18, 2015; 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.