Individual provider Active NPI

Lijo Joseph

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1164838298
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034206 Issued in NY
Practice address
2008 Eastchester Rd
2ND Floor
Bronx, NY 10461-2252
Phone
(718) 794-0600
Fax
(718) 794-9899
NPI assigned
Jul 9, 2014
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034206 NY Primary

Addresses

Primary practice location

2008 Eastchester Rd
2ND Floor
Bronx, NY 10461-2252

Mailing address

2008 Eastchester Rd
2ND Floor
Bronx, NY 10461-2252
Phone (718) 794-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705000017 NY Practitioner - Physical Therapist in Private Practice 7517259062 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034206NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential OT, PT, SLP & Psychology Services, PLLC CurrentSince Apr 23, 2024 Accepting new patients
Jawonio Inc CurrentSince Jun 1, 2016 Accepting new patients
Progressive Rehabilitation Physical Therapy PLLC Current Accepting new patients
Jawonio Inc Current Accepting new patients
Complete SLP, OT, PT & Psychology Services, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Comprehensive OT, PT, SLP & Adult Health NP Services, PLLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
The Caring PT Group, PLLC Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Essential Therapy Services of NJ Physical Therapist CurrentSince Apr 23, 2024 Accepting new patients
Jawonio Inc CurrentSince Jun 1, 2016 Accepting new patients

Locations

63 New Main St
Ste 1
Haverstraw, NY 10927
Phone (845) 290-9131

260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648

260 N Little Tor Rd
#D
New City, NY 10956
Phone (845) 708-2000

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

775 N Main St
#D
Spring Valley, NY 10977
Phone (845) 708-2000

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1164838298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 EASTCHESTER RD",
            "address_2": "2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612252",
            "telephone_number": "718-794-0600",
            "fax_number": "718-794-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 EASTCHESTER RD",
            "address_2": "2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612252",
            "telephone_number": "718-794-0600",
            "fax_number": "718-794-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "LIJO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.