NPIMap

Organization Active NPI

Symmetry Physical Therapy & Wellness, LLC

  • Orthopedic Physical Therapist
  • Pelham, NY
National Provider Identifier
1104993427
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
022415-1 Issued in NY
Legal business name
SYMMETRY PHYSICAL THERAPY & WELLNESS, LLC
Practice address
342 Fifth Ave
Pelham, NY 10803-1204
Phone
(914) 738-1748
Fax
(914) 738-1749
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Mr. Christopher John Lauretani Sr., MS,PTNPI 1558457119
Title
President
Phone
(914) 738-1748

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 022415-1 NY Primary

Addresses

Primary practice location

342 Fifth Ave
Pelham, NY 10803-1204

Mailing address

342 Fifth Ave
Pelham, NY 10803-1204
Phone (914) 738-1748

Other names 1

  • SYMMETRY PHYSICAL THERAPY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070217000095 NY Part B Supplier - Clinic/Group Practice 7719089085 Receives reassigned benefits from 6 practitioners
Practice locations: Pelham, NY

National Provider Directory

National Provider Directory
Tax ID family
Symmetry Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1104993427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031204",
            "telephone_number": "914-738-1748",
            "fax_number": "914-738-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031204",
            "telephone_number": "914-738-1748",
            "fax_number": "914-738-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMMETRY PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "LAURETANI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-738-1748",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "022415-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYMMETRY PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.