Organization Active NPI

Summit Care Physical Therapy P.C.

  • Physical Therapist
  • Woodside, NY
National Provider Identifier
1063019388
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMIT CARE PHYSICAL THERAPY P.C.
Practice address
3759 61St St Ste M2
Woodside, NY 11377-2590
Phone
(718) 424-2273
Fax
(718) 424-2278
NPI assigned
Oct 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Mr. Joart Dongallo Aspera, DPT
Title
Vice President
Phone
(917) 783-2805

Specialties & licenses 1

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

Addresses

Primary practice location

3759 61St St Ste M2
Woodside, NY 11377-2590

Mailing address

3759 61St St Ste M2
Woodside, NY 11377-2590
Phone (718) 424-2273

National Provider Directory

National Provider Directory

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": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1063019388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3759 61ST ST STE M2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772590",
            "telephone_number": "718-424-2273",
            "fax_number": "718-424-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3759 61ST ST STE M2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772590",
            "telephone_number": "718-424-2273",
            "fax_number": "718-424-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CARE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "ASPERA",
        "authorized_official_first_name": "JOART",
        "authorized_official_middle_name": "DONGALLO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "917-783-2805",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.