Lic Strong Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIC STRONG PHYSICAL THERAPY PLLC

Practice address

4528 21St St
Long Island City, NY 11101-5247

Phone

(917) 328-8098

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Dmitry R Choklin, DPTNPI 1700196763

Title

Owner

Phone

(917) 328-8098

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dmitry Choklin

  • Orthopedic Physical Therapist
  • Staten Island, NY
  • NPI 1700196763
  NPD Authorized official
• Yekaterina Shubova, PT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1316289861
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1316556541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 THOMSON AVE UNIT 353",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012938",
            "telephone_number": "917-328-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015247",
            "telephone_number": "917-328-8098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Hull Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103063501",
            "country_code": "US",
            "telephone_number": "917-435-7182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIC STRONG PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "CHOKLIN",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-328-8098",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colleen Liddie
• Nicole Alexandra Lieber, NP
• Arnold I. Liebman, DDS
• Liliya Etkina DDS PC
• Irving K Lim, R.N.

• Physical Therapist in Long Island City, NY
• Providers in Long Island City, 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 Jul 23, 2020; 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.