Organization Active NPI

Total Mobility PT PC

  • Physical Therapy Clinic/Center
  • Flushing, NY
National Provider Identifier
1164851671
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0287481 Issued in NY
Legal business name
TOTAL MOBILITY PT PC
Practice address
4125 Kissena Blvd
Flushing, NY 11355-3150
Phone
(805) 512-2359
Fax
(516) 802-0216
NPI assigned
Nov 5, 2013
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Dr. Donna G. Jose-Dizon, DPTNPI 1013146166
Title
President
Phone
(805) 512-2359

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01330300 NJ
Physical Therapy Clinic/Center 261QP2000X 37085 CA
Physical Therapy Clinic/Center 261QP2000X NU
Physical Therapy Clinic/Center 261QP2000X 0287481 NY Primary

Addresses

Primary practice location

4125 Kissena Blvd
Flushing, NY 11355-3150

Mailing address

5 Edna Dr
Syosset, NY 11791-3717
Phone (805) 512-2359

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1164851671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EDNA DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913717",
            "telephone_number": "805-512-2359",
            "fax_number": "516-802-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553150",
            "telephone_number": "805-512-2359",
            "fax_number": "516-802-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL MOBILITY PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "JOSE-DIZON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-512-2359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01330300",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "37085",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0287481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.