Organization Active NPI

Connect Physical Therapy P.C.

  • Exclusive Provider Organization
  • Queens Village, NY
National Provider Identifier
1124365762
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
014002 Issued in NY
Legal business name
CONNECT PHYSICAL THERAPY P.C.
Practice address
9118 Vanderveer St
Queens Village, NY 11428-1242
Phone
(516) 721-7504
NPI assigned
Jan 15, 2013
Last updated
Jan 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Ma Girlie Olmedo Acero, PHYSICAL THERAPISTNPI 1073770517
Title
Physical Therapist
Phone
(516) 721-7504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 014002 NY Primary

Addresses

Primary practice location

9118 Vanderveer St
Queens Village, NY 11428-1242

Mailing address

9118 Vanderveer St
Queens Village, NY 11428-1242

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1124365762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9118 VANDERVEER ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 VANDERVEER ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281242",
            "telephone_number": "516-721-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "ACERO",
        "authorized_official_first_name": "MA GIRLIE",
        "authorized_official_middle_name": "OLMEDO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-721-7504",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "014002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.