Queens County Physical Therapy and Wellness,PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023716 Issued in NY

Legal business name

QUEENS COUNTY PHYSICAL THERAPY AND WELLNESS,PC

Practice address

20014 44TH Ave
Bayside, NY 11361-2510

Phone

(718) 279-2900

Fax

(718) 279-7958

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Gleen Bautista Anciro, PT

Title

Physical Therapist / Owner

Phone

(718) 279-2900

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marlon Soriano

  • Physical Therapist
  • Flushing, NY
  • NPI 1881852069
  NPD (past)

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1194998633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20014 44TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612510",
            "telephone_number": "718-279-2900",
            "fax_number": "718-279-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20014 44TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612510",
            "telephone_number": "718-279-2900",
            "fax_number": "718-279-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS COUNTY PHYSICAL THERAPY AND WELLNESS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "ANCIRO",
        "authorized_official_first_name": "GLEEN",
        "authorized_official_middle_name": "BAUTISTA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "718-279-2900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Associates, LLP
• Boris S Pugachevsky, PT
• Clins Puthussery Varghese
• Jimmy Qiu
• Mary Elizabeth Queally, REGISTERED NURSE
• Queens Eyecare Physician PC
• Queens Rehabilitation & Diagnostics
• Therese Elizabeth Quinn
• Coral Elise Quintyne, LPN
• Euna Veronica Ra

• Physical Therapist in Bayside, NY
• Providers in Bayside, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.