Physio Health Ny PT,PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

028547 Issued in NY

Legal business name

PHYSIO HEALTH NY PT,PC

Practice address

11940 Metropolitan Ave
Suite 105
Kew Gardens, NY 11415-2600

Phone

(718) 880-1911

NPI assigned

Jan 5, 2015

Last updated

Jan 5, 2015By 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

Charmaine Morcilla, PTNPI 1922248707

Title

Owner

Phone

(347) 208-4511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charmaine Morcilla, PT

  • Physical Therapist
  • Astoria, NY
  • NPI 1922248707
  Medicare reassignment NPD Authorized official
• Moira Gutierrez Caringal, O.T.

  • Occupational Therapist
  • Woodhaven, NY
  • NPI 1649505132
  NPD (past)
• Andrew Paek, L.AC

  • Acupuncturist
  • Maspeth, NY
  • NPI 1114753571
  NPD (past)

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1063800670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 27TH ST APT 1A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 METROPOLITAN AVE",
            "address_2": "SUITE 105",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152600",
            "telephone_number": "718-880-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO HEALTH NY PT,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "MORCILLA",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-208-4511",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "028547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Perry, CASAC 2
• Andrew Peters, LCSW-R
• Christina Rose Petkanas
• Laura Ann Pfister
• Phoenix Occupational Therapy PC
• Elsa Victoria Piedrahita
• Miriam Pinchasov
• Bella Pinkatz, DDS
• Alexandra Pinkhas
• Karolina Pinkhasova

• Physical Therapy Clinic/Center in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.