Goal Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GOAL PHYSICAL THERAPY PC

Practice address

6 Gramatan Ave Ste 203
Mount Vernon, NY 10550-3209

Phone

(516) 404-8052

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Cynthia I Lett, PT

Title

Officer

Phone

(516) 404-8052

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1104476449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 ROOSEVELT DR",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321126",
            "telephone_number": "516-404-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 203",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503209",
            "telephone_number": "516-404-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "LETT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "516-404-8052",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.