Organization Active NPI

Allure Physical Therapy P.C.

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1114308756
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031272 Issued in NY
Legal business name
ALLURE PHYSICAL THERAPY P.C.
Practice address
1894 Eastchester Rd
Suite 204
Bronx, NY 10461-2328
Phone
(917) 708-9181
Fax
(917) 708-9182
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Mr. Yan Yusupov, P.T.
Title
President
Phone
(917) 757-6307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 031272 NY Primary

Addresses

Primary practice location

1894 Eastchester Rd
Suite 204
Bronx, NY 10461-2328

Mailing address

9735 63Rd Dr
Rego Park, NY 11374-2229
Phone (917) 757-6307

National Provider Directory

National Provider Directory

Locations

1894 Eastchester Rd
Ste 204
Bronx, NY 10461
Phone (917) 708-9181

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1114308756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742229",
            "telephone_number": "917-757-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 EASTCHESTER RD",
            "address_2": "SUITE 204",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612328",
            "telephone_number": "917-708-9181",
            "fax_number": "917-708-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "YUSUPOV",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-757-6307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031272",
            "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 Jun 11, 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.