Organization Active NPI

Centeno Physical Therapy PC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1316655731
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Maria E Soto, PTNPI 1144319427
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.