Elite One Physical Therapy, P.C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022383 Issued in NY

Legal business name

ELITE ONE PHYSICAL THERAPY, P.C

Practice address

346 Beebe Rd
Mineola, NY 11501-1112

Phone

(718) 470-1266

Fax

(516) 279-4174

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Salby Makil Simon

Title

Owner

Phone

(718) 470-1266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1033462213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 BEEBE RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011112",
            "telephone_number": "718-470-1266",
            "fax_number": "516-279-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 BEEBE RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011112",
            "telephone_number": "718-470-1266",
            "fax_number": "516-279-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ONE PHYSICAL THERAPY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "SALBY",
        "authorized_official_middle_name": "MAKIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-470-1266"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Mineola, NY
• Providers in Mineola, 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 Oct 24, 2012; 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.