NPIMap

Organization Active NPI

PT Plus, PC

  • Physical Therapist
  • Pomona, NY
National Provider Identifier
1053483941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0197921 Issued in NY
Legal business name
PT PLUS, PC
Practice address
26 Firemans Memorial Dr Ste 115
Pomona, NY 10970-3569
Phone
(845) 362-8400
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marijeane Liederbach, PT
Title
Owner
Phone
(212) 246-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0197921 NY Primary

Addresses

Primary practice location

26 Firemans Memorial Dr Ste 115
Pomona, NY 10970-3569

Mailing address

130 W 56TH St Ste 6M
New York, NY 10019-3866

National Provider Directory

National Provider Directory

Locations

130 W 56th St
Fl 6M
New York, NY 10019
Phone (212) 246-3700

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053483941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 56TH ST STE 6M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FIREMANS MEMORIAL DR STE 115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703569",
            "telephone_number": "845-362-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT PLUS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEDERBACH",
        "authorized_official_first_name": "MARIJEANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-246-3700",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0197921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.