Organization Active NPI

Alliance Physical Therapy, P.C.

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1144491457
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016717 Issued in NY
Legal business name
ALLIANCE PHYSICAL THERAPY, P.C.
Practice address
5765 Amboy Rd
Staten Island, NY 10309-3135
Phone
(718) 227-5757
Fax
(718) 227-5025
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Mr. William S. Macri, P.T.NPI 1619940251
Title
President
Phone
(718) 227-5757

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 016717 NY Primary

Addresses

Primary practice location

5765 Amboy Rd
Staten Island, NY 10309-3135

Mailing address

5765 Amboy Rd
Staten Island, NY 10309-3135
Phone (718) 227-5757

Other identifiers 5

IdentifierTypeStateIssuer
2459552MedicaidNY
46301OtherNYORTHONET
MW6717OtherNYUHC
133797POtherNYHIP
QB9352OtherNYEMPIRE BC/BS

National Provider Directory

National Provider Directory

Locations

5765 Amboy Rd
Staten Island, NY 10309
Phone (718) 227-5757

Practitioners & affiliated clinicians

Practitioners 1

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": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1144491457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5765 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093135",
            "telephone_number": "718-227-5757",
            "fax_number": "718-227-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093135",
            "telephone_number": "718-227-5757",
            "fax_number": "718-227-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "MACRI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-227-5757",
        "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": "016717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2459552",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "46301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "MW6717",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "133797P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "QB9352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.