Active NPI
Thalia Neis
- Physical Therapist
- Long Island City, NY
National Provider Identifier
1164727939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027822-1
- Practice address
- 2811 Queens PLZ N
Long Island City, NY 11101-4008 - Phone
- (917) 286-5147
- NPI assigned
- Jan 25, 2011
- Last updated
- Jan 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 027822-1 | NY | Primary |
Addresses
Primary practice location
2811 Queens PLZ N
Long Island City, NY 11101-4008
Mailing address
5009 38TH St
Long Island City, NY 11101-1901
Phone (917) 286-5147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027822-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT Dynamics Services LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1346906336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1164727939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 38TH ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111011901",
"telephone_number": "917-286-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 QUEENS PLZ N",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014008",
"telephone_number": "917-286-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIS",
"first_name": "THALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027822-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.