Quality Physical and Massage Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

QUALITY PHYSICAL AND MASSAGE THERAPY PLLC

Practice address

261 E 78TH St
New York, NY 10075-1216

Phone

(646) 755-8838

Fax

(646) 755-8859

NPI assigned

Oct 3, 2014

Last updated

Oct 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yevgeniy Sazonov, MT

Title

Ceo

Phone

(917) 207-1529

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1225431208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280019",
            "telephone_number": "646-755-8838",
            "fax_number": "646-755-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E 78TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751216",
            "telephone_number": "646-755-8838",
            "fax_number": "646-755-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY PHYSICAL AND MASSAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "SAZONOV",
        "authorized_official_first_name": "YEVGENIY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-207-1529",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "008590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in New York, NY
• Providers in New York, 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 Oct 3, 2014; 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.