Organization Active NPI

Alvizo Physical Therapy P.C.

  • Physical Therapist
  • Bellmore, NY
National Provider Identifier
1114030780
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019185 Issued in NY
Legal business name
ALVIZO PHYSICAL THERAPY P.C.
Practice address
2710 Grand Ave
Bellmore, NY 11365
Phone
(516) 781-9555
Fax
(516) 781-2871
NPI assigned
Aug 16, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Theresa Alvizo
Title
President
Phone
(516) 781-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 019185 NY Primary

Addresses

Primary practice location

2710 Grand Ave
Bellmore, NY 11365

Mailing address

2710 Grand Ave
Bellmore, NY 11710-3556
Phone (516) 781-9555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090821000435 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214933282 Receives reassigned benefits from 1 practitioner
Practice locations: Bayside, NY

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1114030780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 GRAND AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103556",
            "telephone_number": "516-781-9555",
            "fax_number": "516-781-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 GRAND AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "516-781-9555",
            "fax_number": "516-781-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIZO PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "ALVIZO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-781-9555"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.