NPIMap

Organization Active NPI

Manor Road Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Staten Island, NY
National Provider Identifier
1245531250
Registry record updated Nov 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
027751 Issued in NY
Legal business name
MANOR ROAD PHYSICAL THERAPY PC
Practice address
800 Manor Rd
Suite 2
Staten Island, NY 10314-7034
Phone
(630) 337-1475
NPI assigned
Nov 7, 2010
Last updated
Nov 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2010

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

Authorized official

Name
Dr. John Frederick Martinez, PT, DPTNPI 1518268523
Title
President
Phone
(630) 337-1475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 027751 NY Primary

Addresses

Primary practice location

800 Manor Rd
Suite 2
Staten Island, NY 10314-7034

Mailing address

800 Manor Rd
Suite 2
Staten Island, NY 10314-7034

National Provider Directory

National Provider Directory

Locations

800 Manor Rd
Ste 2
Staten Island, NY 10314
Phone (630) 337-1475

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1289088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289088000000",
    "number": "1245531250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MANOR RD",
            "address_2": "SUITE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MANOR RD",
            "address_2": "SUITE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147034",
            "telephone_number": "630-337-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR ROAD PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-07",
        "last_updated": "2010-11-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-337-1475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "027751",
            "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 Nov 7, 2010; 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.