J E M Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032529-1 Issued in NY

Legal business name

J E M PHYSICAL THERAPY PC

Practice address

4207 Kissena Blvd
Cellar Level
Flushing, NY 11355-3275

Phone

(646) 769-0675

NPI assigned

Feb 28, 2013

Organization subpart

No

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

Authorized official

Name

Marjorie Pana, PT

Title

President

Phone

(646) 769-0675

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1326388356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD",
            "address_2": "SUITE 1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 KISSENA BLVD",
            "address_2": "CELLAR LEVEL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553275",
            "telephone_number": "646-769-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J E M PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "PANA",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-769-0675",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032529-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 28, 2013; 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.