Active NPI
Santa Maria Physical Therapy PC
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1164881488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SANTA MARIA PHYSICAL THERAPY PC
- Practice address
- 58 Salamander CT
Staten Island, NY 10309-1931 - Phone
- (718) 450-5278
- NPI assigned
- Feb 15, 2016
- Last updated
- Mar 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sameh Genidy, PT
- Title
- Owner/Physical Therapist
- Phone
- (718) 450-5278
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
58 Salamander CT
Staten Island, NY 10309-1931
Mailing address
1330A Rockland Avenue
Staten Island, NY 10314
National Provider Directory
National Provider DirectoryLocations
500 Todt Hill Rd
Staten Island, NY 10304
Phone (330) 550-0258
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.
-
- Physical Therapist
- Staten Island, NY
- NPI 1023163995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1164881488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330A ROCKLAND AVENUE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 SALAMANDER CT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103091931",
"telephone_number": "718-450-5278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA MARIA PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-15",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "GENIDY",
"authorized_official_first_name": "SAMEH",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "718-450-5278",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.