Loyalty Physical Therapy PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LOYALTY PHYSICAL THERAPY PT PC

Practice address

22719 Merrick Blvd
Laurelton, NY 11413-2104

Phone

(718) 276-4482

Fax

(347) 602-4631

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Yasser A Abdalla, PT

Title

President

Phone

(347) 492-3901

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1306260708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 BAY RIDGE PKWY",
            "address_2": "APT 1 R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045715",
            "telephone_number": "347-788-2430",
            "fax_number": "347-602-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22719 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132104",
            "telephone_number": "718-276-4482",
            "fax_number": "347-602-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYALTY PHYSICAL THERAPY PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "YASSER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-492-3901",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "030908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lloyd, RN
• Andrea Lloyd
• Arlette Louis, R.N.
• Patricia Louis, LPN
• Marjorie Louissaint, RN
• Stacy Denise Lyles
• Medjine Macceus-Francois
• Edmund Malu
• Crystal Ann Marques
• Altheia Martin

• Physical Therapist in Laurelton, NY
• Providers in Laurelton, 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 Feb 6, 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.