MVP Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015323 Issued in NY

Legal business name

MVP PHYSICAL THERAPY, P.C.

Practice address

12 Platinum CT
Suite B
Medford, NY 11763-2247

Phone

(631) 320-1111

Fax

(631) 286-6168

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William J Broglie, P.T.

Title

Owner

Phone

(631) 320-1111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1205048139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PLATINUM CT",
            "address_2": "SUITE B",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632247",
            "telephone_number": "631-320-1111",
            "fax_number": "631-286-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PLATINUM CT",
            "address_2": "SUITE B",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632247",
            "telephone_number": "631-320-1111",
            "fax_number": "631-286-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "BROGLIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-320-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleigh Maureen Murphy, LPN
• Kescha Murphy, LMSW
• Alberta Murray
• Bernice Murray
• Kathleen Mary Murray, P.T.
• Kavita Naidu, DMD
• Ashley Napoli
• Jennifer Ann Nastasi, D.O.
• Krista Ann Nastro, PMHNP-BC
• Remi Navaretta, PHARMD

• Physical Therapist in Medford, NY
• Providers in Medford, 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 Sep 22, 2016; 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.