Good Shepherd Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GOOD SHEPHERD PHYSICAL THERAPY PLLC

Practice address

107 E Broadway FL 3
New York, NY 10002-7037

Phone

(201) 660-0968

Fax

(212) 233-0898

NPI assigned

Sep 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Laqui, DPT

Title

DPT

Phone

(201) 660-0968

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Shepherd Physical Therapy PLLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1285118299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E BROADWAY FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027037",
            "telephone_number": "212-233-0889",
            "fax_number": "212-233-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E BROADWAY FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027037",
            "telephone_number": "201-660-0968",
            "fax_number": "212-233-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "LAQUI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "201-660-0968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386023018",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "goodshepherd_physicaltherapy@yahoo.com",
            "affiliation": "N",
            "address_1": "107 E Broadway",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100027006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Good Shepherd Physical Therapy PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Shepherd Physical Therapy PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Good Hands Senior Care LLC
• Good Hands Senior Care LLC
• Good Health Med Stats Inc
• Good Health Physical Therapy PC
• Good Health Zone Inc.
• Good Shepherd Services
• Michael Thomas Good
• Nancy Good
• Pamela Isabel Good, M.D.
• Rachel Alexis Good, FNP-BC

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.