Excellence Rehab & Physical Therapy,PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EXCELLENCE REHAB & PHYSICAL THERAPY,PC

Practice address

1894 Eastchester Rd
1St Floor
Bronx, NY 10461-2328

Phone

(718) 518-1133

Fax

(718) 518-1244

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Jocelyn Gloria Alonso Ruiz de Guzman, P.T.NPI 1679571467

Title

Director

Phone

(718) 518-1133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jocelyn Gloria Alonso Ruiz de Guzman, P.T.

  • Physical Therapist
  • Bronx, NY
  • NPI 1679571467
  NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114042017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 EASTCHESTER RD",
            "address_2": "1ST FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612328",
            "telephone_number": "718-518-1133",
            "fax_number": "718-518-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 EASTCHESTER RD",
            "address_2": "1ST FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612328",
            "telephone_number": "718-518-1133",
            "fax_number": "718-518-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE REHAB & PHYSICAL THERAPY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUIZ DE GUZMAN",
        "authorized_official_first_name": "JOCELYN GLORIA",
        "authorized_official_middle_name": "ALONSO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-518-1133",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02324014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.