Active NPI
Centeno Physical Therapy PC
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1316655731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CENTENO PHYSICAL THERAPY PC
- Practice address
- 106 Lockman Ave
Staten Island, NY 10303-2052 - Phone
- (347) 764-3977
- NPI assigned
- Nov 15, 2022
- 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
- Maria E Soto, PT
- Title
- Owner/Director
- Phone
- (347) 764-3977
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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
106 Lockman Ave
Staten Island, NY 10303-2052
Mailing address
2079 Forest Ave Unit 30367
Staten Island, NY 10303-1799
Phone (347) 764-3977
National Provider Directory
National Provider DirectoryLocations
2079 Forest Ave
Unit 30367
Staten Island, NY 10303
Phone (347) 419-8391
Practitioners & 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
- Staten Island, NY
- NPI 1144319427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1316655731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2079 FOREST AVE UNIT 30367",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103031799",
"telephone_number": "347-764-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 LOCKMAN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103032052",
"telephone_number": "347-764-3977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTENO PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "SOTO",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "347-764-3977",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.