Elite Physical and Occupational Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021328 Issued in NY

Legal business name

ELITE PHYSICAL AND OCCUPATIONAL THERAPY PLLC

Practice address

7309 Myrtle Ave
Lower Level
Glendale, NY 11385-7431

Phone

(718) 381-3555

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Fotis Tsolis, B.S., PT

Title

Owner/Director

Phone

(718) 381-3555

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1073797924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 MYRTLE AVE",
            "address_2": "LOWER LEVEL",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857431",
            "telephone_number": "718-381-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 MYRTLE AVE",
            "address_2": "LOWER LEVEL",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857431",
            "telephone_number": "718-381-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL AND OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "TSOLIS",
        "authorized_official_first_name": "FOTIS",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "718-381-3555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S., PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021328",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Glendale, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.