NPIMap

Organization Active NPI

Advanced Sports, Physical & Orthopedic Rehabilitative Therapy Services

Doing business as Advanced S.P.O.R.T.S.

  • Physical Therapy Clinic/Center
  • Fresh Meadows, NY
National Provider Identifier
1164460879
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADVANCED SPORTS, PHYSICAL & ORTHOPEDIC REHABILITATIVE THERAPY SERVICES
Doing business as
Advanced S.P.O.R.T.S.
Practice address
17660 Union Tpke
Suite 195
Fresh Meadows, NY 11366-1531
Phone
(718) 820-9300
Fax
(718) 820-9382
NPI assigned
Jun 3, 2006
Last updated
Jan 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Mr. Joseph P. Capobianco, PTNPI 1780670646
Title
Vice President
Phone
(718) 820-9300

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

17660 Union Tpke
Suite 195
Fresh Meadows, NY 11366-1531

Mailing address

163 New Hyde Park Rd
Franklin Square, NY 11010-3045
Phone (516) 616-1111

Other practice location 1

163 New Hyde Park Rd
Franklin Square, NY 11010-3045
Phone (516) 616-1111

Other names 1

  • Advanced S.P.O.R.T.S. Doing business as

National Provider Directory

National Provider Directory

Locations

163 New Hyde Park Rd
Franklin Square, NY 11010
Phone (516) 616-1111

17660 Union Tpke
Ste 195
Fresh Meadows, NY 11366
Phone (718) 820-9300

Practitioners & affiliated clinicians

Practitioners 9

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1164460879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 NEW HYDE PARK RD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103045",
            "telephone_number": "516-616-1111",
            "fax_number": "516-616-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17660 UNION TPKE",
            "address_2": "SUITE 195",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661531",
            "telephone_number": "718-820-9300",
            "fax_number": "718-820-9382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 New Hyde Park Rd",
            "address_purpose": "LOCATION",
            "city": "Franklin Square",
            "state": "NY",
            "postal_code": "110103045",
            "country_code": "US",
            "telephone_number": "516-616-1111",
            "fax_number": "516-616-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED SPORTS, PHYSICAL & ORTHOPEDIC REHABILITATIVE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "CAPOBIANCO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-820-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced S.P.O.R.T.S.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced S.P.O.R.T.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.