Organization Active NPI

Richmond Road Physical Therapy PC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1245563105
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022726 Issued in NY
Legal business name
RICHMOND ROAD PHYSICAL THERAPY PC
Practice address
2052 Richmond Rd
Staten Island, NY 10306-2548
Phone
(718) 667-2190
Fax
(718) 667-7279
NPI assigned
Sep 10, 2009
Last updated
Aug 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Dr. Samar Mohamed Soliman, L.P.T.
Title
Partner
Phone
(718) 667-2190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 022726 NY Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 014113 NY

Addresses

Primary practice location

2052 Richmond Rd
Staten Island, NY 10306-2548

Mailing address

24 Colonial GDNS
Brooklyn, NY 11209-5404
Phone (718) 667-2190

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1245563105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COLONIAL GDNS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095404",
            "telephone_number": "718-667-2190",
            "fax_number": "718-667-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062548",
            "telephone_number": "718-667-2190",
            "fax_number": "718-667-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND ROAD PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-667-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022726",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014113",
            "primary": false
        }
    ],
    "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 Aug 8, 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.