Organization Active NPI

Janine Mantzaris Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1104061290
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
017086 Issued in NY
Legal business name
JANINE MANTZARIS PHYSICAL THERAPY PC
Practice address
190 Fordham St
Bronx, NY 10464-1422
Phone
(917) 577-1752
Fax
(718) 885-1191
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Mrs. Janine Runions Mantzaris, PHYSICAL THERAPISTNPI 1386836054
Title
Owner/Pherapist
Phone
(917) 577-1752

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
Physical Therapy Clinic/Center 261QP2000X 017086 NY Primary

Addresses

Primary practice location

190 Fordham St
Bronx, NY 10464-1422

Mailing address

97 Winters St
Bronx, NY 10464-1519
Phone (917) 577-1752

Other names 1

  • City Island Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1104061290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WINTERS ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641519",
            "telephone_number": "917-577-1752",
            "fax_number": "718-885-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 FORDHAM ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641422",
            "telephone_number": "917-577-1752",
            "fax_number": "718-885-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANINE MANTZARIS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "MANTZARIS",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "RUNIONS",
        "authorized_official_title_or_position": "OWNER/PHERAPIST",
        "authorized_official_telephone_number": "917-577-1752",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "017086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Island Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 4, 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.