Organization Active NPI

Adept Physical Therapy, P.C.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Valley Stream, NY
National Provider Identifier
1104025410
Registry record updated Apr 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
020023 Issued in NY
Legal business name
ADEPT PHYSICAL THERAPY, P.C.
Practice address
210 E Sunrise Hwy
Suite 101
Valley Stream, NY 11581-1329
Phone
(718) 529-4384
Fax
(718) 529-4384
NPI assigned
Jul 16, 2007
Last updated
Apr 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2008

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

Authorized official

Name
Mrs. Mary Joy Espiritu Cubillan, P.T.NPI 1083817415
Title
Physical Therapist
Phone
(718) 529-4384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 020023 NY Primary

Addresses

Primary practice location

210 E Sunrise Hwy
Suite 101
Valley Stream, NY 11581-1329

Mailing address

15928 92ND St
Howard Beach, NY 11414-3122
Phone (718) 529-4384

Other identifiers 1

IdentifierTypeStateIssuer
020023OtherNYNEW YORK STATE LICENSE AS

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209254400000",
    "number": "1104025410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15928 92ND ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143122",
            "telephone_number": "718-529-4384",
            "fax_number": "718-529-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E SUNRISE HWY",
            "address_2": "SUITE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811329",
            "telephone_number": "718-529-4384",
            "fax_number": "718-529-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEPT PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-04-27",
        "status": "A",
        "authorized_official_last_name": "CUBILLAN",
        "authorized_official_first_name": "MARY JOY",
        "authorized_official_middle_name": "ESPIRITU",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-529-4384",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NY",
            "license": "020023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE AS",
            "identifier": "020023",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2008; 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.