Organization Active NPI

Manual Physical Therapy and Nursing Care, PT and RN, PLLC

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1063824225
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
029278 Issued in NY
Legal business name
MANUAL PHYSICAL THERAPY AND NURSING CARE, PT AND RN, PLLC
Practice address
825 Walton Ave
At 158 Street
Bronx, NY 10451-2306
Phone
(718) 402-1800
Fax
(718) 402-2366
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Mr. Ronald Soledad Pascual, RN
Title
Director
Phone
(201) 647-9343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 029278 NY Primary

Addresses

Primary practice location

825 Walton Ave
At 158 Street
Bronx, NY 10451-2306

Mailing address

825 Walton Avenue
At 158 Street
Bronx, NY 10451
Phone (718) 402-1800

National Provider Directory

National Provider Directory

Locations

825 Walton Ave
#158
Bronx, NY 10451
Phone (718) 402-1800

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1063824225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WALTON AVENUE",
            "address_2": "AT 158 STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10451",
            "telephone_number": "718-402-1800",
            "fax_number": "718-402-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WALTON AVE",
            "address_2": "AT 158 STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512306",
            "telephone_number": "718-402-1800",
            "fax_number": "718-402-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL PHYSICAL THERAPY AND NURSING CARE, PT AND RN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "SOLEDAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-647-9343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "029278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

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