NPIMap

Organization Active NPI

Comprehensive Atlantic Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1104203165
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COMPREHENSIVE ATLANTIC PHYSICAL THERAPY PC
Practice address
3424 Kingsbridge Ave
Ste 1H
Bronx, NY 10463-4001
Phone
(718) 884-2460
Fax
(888) 543-7447
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Ayam De Leon, PT
Title
President
Phone
(718) 884-2460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3424 Kingsbridge Ave
Ste 1H
Bronx, NY 10463-4001

Mailing address

3424 Kingsbridge Ave
Ste 1H
Bronx, NY 10463-4001
Phone (718) 884-2460

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1104203165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 KINGSBRIDGE AVE",
            "address_2": "STE 1H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634001",
            "telephone_number": "718-884-2460",
            "fax_number": "888-543-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 KINGSBRIDGE AVE",
            "address_2": "STE 1H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634001",
            "telephone_number": "718-884-2460",
            "fax_number": "888-543-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE ATLANTIC PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "AYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-884-2460",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 29, 2015; 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.