Corona Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24014 Issued in NY

Legal business name

CORONA PHYSICAL THERAPY PC

Practice address

10318 39TH Ave
Suite 1
Corona, NY 11368-2302

Phone

(718) 205-1513

Fax

(646) 304-8252

NPI assigned

Sep 3, 2014

Last updated

Sep 3, 2014By 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

Mr. Christopher Anthony Bautista, MBA

Title

Practice Administrator

Phone

(914) 309-9564

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1043610579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10318 39TH AVE",
            "address_2": "SUITE 1",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10318 39TH AVE",
            "address_2": "SUITE 1",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682302",
            "telephone_number": "718-205-1513",
            "fax_number": "646-304-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "914-309-9564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "24014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corona Medical Testing PLLC
• Corona Optometry PC (Corona Vision)
• Corona Optometry, PC
• Corona Pharmacy Inc.
• Corona Pharmacy RX Inc
• Corona RX 2 Inc
• Corona Social Center, Inc.
• Corona Social Day Care Inc.
• Corona Transportation Corp.
• Corona Wellness Pharmacy Corp.

• Physical Therapist in Corona, NY
• Providers in Corona, 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 Sep 3, 2014; 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.