Physioterra PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIOTERRA PT PC

Practice address

3770 103Rd St
Corona, NY 11368-5390

Phone

(917) 832-7217

Fax

(917) 832-7486

NPI assigned

Apr 29, 2022

Organization subpart

No

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

Authorized official

Name

Korina Aimee Gahol Galaraga, PT

Title

Owner

Phone

(917) 742-0221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1043955537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 SOMMERVILLE PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 103RD ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113685390",
            "telephone_number": "917-832-7217",
            "fax_number": "917-832-7486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "284 Sommerville Pl",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107032225",
            "country_code": "US",
            "telephone_number": "917-742-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOTERRA PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "GALARAGA",
        "authorized_official_first_name": "KORINA",
        "authorized_official_middle_name": "AIMEE GAHOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-742-0221",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 2, 2023; 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.