Organization Active NPI

Pebble Beach Physical Therapy PLLC

  • Physical Therapist
  • White Plains, NY
National Provider Identifier
1073541074
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0046431 Issued in NY
Legal business name
PEBBLE BEACH PHYSICAL THERAPY PLLC
Practice address
5 Pebble Beach LN
White Plains, NY 10605-5117
Phone
(914) 946-3304
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Elizabeth Ftaya
Title
Owner
Phone
(914) 946-3304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0046431 NY Primary

Addresses

Primary practice location

5 Pebble Beach LN
White Plains, NY 10605-5117

Mailing address

5 Pebble Beach LN
White Plains, NY 10605-5117
Phone (914) 946-3304

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1073541074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PEBBLE BEACH LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055117",
            "telephone_number": "914-946-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PEBBLE BEACH LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055117",
            "telephone_number": "914-946-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEBBLE BEACH PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "FTAYA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-946-3304"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0046431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.