Mamaroneck Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032724 Issued in NY

Legal business name

MAMARONECK PHYSICAL THERAPY P.C.

Doing business as

Physical Therapy Associate of Queens

Practice address

8202 Grand Ave
Suite 1a
Elmhurst, NY 11373-4133

Phone

(718) 606-0849

Fax

(718) 606-1077

NPI assigned

Oct 19, 2011

Last updated

Oct 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Bautista

Title

Administrator

Phone

(718) 606-0849

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy Associate of Queens Doing business as

Practitioners 1

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.

• Melody Tsangmin Bautista, PT

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1548368962
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1316222474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 GRAND AVE",
            "address_2": "SUITE 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734133",
            "telephone_number": "718-606-0849",
            "fax_number": "718-606-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 GRAND AVE",
            "address_2": "SUITE 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734133",
            "telephone_number": "718-606-0849",
            "fax_number": "718-606-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMARONECK PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-606-0849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Associate of Queens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naheed Kauser Malik, O.D.
• Luigina Malizia
• Benjamin Daniel Malkin, M.D.
• Ria Anne Gretchen Real Mallari, R.N
• Denis Malyshev, MD
• Mamaroneck Physical Therapy PC (Physical Therapy Associates of Queens)
• Kabita Manandhar
• Claudine Manangan
• Mikhail Manasherov, MD
• Gianna Manfredi, LCSW

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, 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 Oct 19, 2011; 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.