Organization Active NPI

Phoenix Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Orangeburg, NY
National Provider Identifier
1144820762
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHOENIX PHYSICAL THERAPY PLLC
Practice address
337 Blaisdell Rd
Orangeburg, NY 10962-2508
Phone
(914) 340-4623
NPI assigned
Nov 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Authorized official

Name
Dr. Arantzazu Garate Cioce, DPTNPI 1114392636
Title
Ceo
Phone
(813) 362-1306

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

337 Blaisdell Rd
Orangeburg, NY 10962-2508

Mailing address

4 Charles PL
Old Tappan, NJ 07675-7247

Other names 1

  • Phoenix Physical Therapy LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zazu@phoenixpt.info Direct

National Provider Directory

National Provider Directory

Locations

337 Blaisdell Rd
Orangeburg, NY 10962
Phone (914) 340-4623

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": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604188800000",
    "number": "1144820762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CHARLES PL",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 BLAISDELL RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622508",
            "telephone_number": "914-340-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A",
        "authorized_official_last_name": "CIOCE",
        "authorized_official_first_name": "ARANTZAZU",
        "authorized_official_middle_name": "GARATE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-362-1306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zazu@phoenixpt.info",
            "affiliation": "N",
            "endpointDescription": "HIPAA secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "337 Blaisdell Rd",
            "city": "Orangeburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109622508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Phoenix Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.