Organization Active NPI

Queens Hands- on Physical Therapy. P.C

  • Physical Therapist
  • Jackson Heights, NY
National Provider Identifier
1194936005
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019399 Issued in NY
Legal business name
QUEENS HANDS- ON PHYSICAL THERAPY. P.C
Practice address
9001A Roosevelt Ave FL 2
Jackson Heights, NY 11372-7938
Phone
(718) 205-4911
Fax
(718) 205-5946
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Liliana M Ayarza, PT
Title
Physical Therapist Senior
Phone
(718) 205-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 019399 NY Primary

Addresses

Primary practice location

9001A Roosevelt Ave FL 2
Jackson Heights, NY 11372-7938

Mailing address

9001A Roosevelt Ave FL 2
Jackson Heights, NY 11372-7938
Phone (718) 205-4911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090217000424 NY Part B Supplier - Clinic/Group Practice 7113082603 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

9001A Roosevelt Ave
Fl 2
Jackson Heights, NY 11372
Phone (718) 205-4911

5314 Roosevelt Ave
#2N
Woodside, NY 11377
Phone (718) 205-4911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1194936005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001A ROOSEVELT AVE FL 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727938",
            "telephone_number": "718-205-4911",
            "fax_number": "718-205-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001A ROOSEVELT AVE FL 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727938",
            "telephone_number": "718-205-4911",
            "fax_number": "718-205-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS HANDS- ON PHYSICAL THERAPY. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "AYARZA",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST SENIOR",
        "authorized_official_telephone_number": "718-205-4911",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.