Active NPI
Adept Physical Therapy, P.C.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Valley Stream, NY
National Provider Identifier
1104025410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 020023
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020023 | Other | NY | NEW YORK STATE LICENSE AS |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Carlsbad, CA
- NPI 1083817415
-
- Physical Therapist
- Valley Stream, NY
- NPI 1134324122
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.