Organization Active NPI

Body Repair Physical Therapy PC

Doing business as Body Repair Physcial Therapy

  • Physical Therapist
  • Jackson Heights, NY
National Provider Identifier
1053500827
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024831 Issued in NY
Legal business name
BODY REPAIR PHYSICAL THERAPY PC
Doing business as
Body Repair Physcial Therapy
Practice address
82-11 37TH Ave
Jackson Heights, NY 11372-7015
Phone
(718) 932-1818
Fax
(718) 932-3222
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Ms. Gloria Zapata, P.T.
Title
Owner
Phone
(718) 932-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 024831 NY Primary

Addresses

Primary practice location

82-11 37TH Ave
Jackson Heights, NY 11372-7015

Mailing address

82-11 37TH Ave
Suite 602
Jackson Heights, NY 11372-7015
Phone (718) 932-1818

Other identifiers 1

IdentifierTypeStateIssuer
03836748MedicaidNY

Other names 1

  • BODY REPAIR PHYSCIAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

3080 31st St
Astoria, NY 11102
Phone (718) 932-1818

Practitioners & affiliated clinicians

Practitioners 2

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1053500827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82-11 37TH AVE",
            "address_2": "SUITE 602",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727015",
            "telephone_number": "718-932-1818",
            "fax_number": "718-932-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82-11 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727015",
            "telephone_number": "718-932-1818",
            "fax_number": "718-932-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY REPAIR PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "ZAPATA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-932-1818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03836748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BODY REPAIR PHYSCIAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.