Active NPI
JMP Physical Therapy PC
- Physical Therapy Clinic/Center
- Howard Beach, NY
National Provider Identifier
1255637559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 027737
- Legal business name
- JMP PHYSICAL THERAPY PC
- Practice address
- 15705 Crossbay Blvd
Howard Beach, NY 11414-2748 - Phone
- (718) 641-8700
- Fax
- (718) 641-8702
- NPI assigned
- Feb 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Pantaleo, DPT
- Title
- President/ Owner
- Phone
- (718) 641-8700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 027737 | NY | Primary |
Addresses
Primary practice location
15705 Crossbay Blvd
Howard Beach, NY 11414-2748
Mailing address
157- 05 Crossbay Blvd.
Howard Beach, NY 11414
Phone (718) 641-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Howard Beach, NY
- NPI 1538235148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393200000000",
"number": "1255637559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157- 05 CROSSBAY BLVD.",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "11414",
"telephone_number": "718-641-8700",
"fax_number": "718-641-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15705 CROSSBAY BLVD",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114142748",
"telephone_number": "718-641-8700",
"fax_number": "718-641-8702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JMP PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-03",
"last_updated": "2014-02-24",
"status": "A",
"authorized_official_last_name": "PANTALEO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT/ OWNER",
"authorized_official_telephone_number": "718-641-8700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "027737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.