Organization Active NPI

Smi Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1346073970
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SMI PHYSICAL THERAPY PC
Practice address
1120 Morris Park Ave Ste 1B
Bronx, NY 10461-1463
Phone
(718) 684-6030
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Samar Montaser Israel, DPT
Title
President
Phone
(925) 673-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1120 Morris Park Ave Ste 1B
Bronx, NY 10461-1463

Mailing address

250 W 50TH St Apt 22F
New York, NY 10019-6724
Phone (925) 408-3906

National Provider Directory

National Provider Directory

Locations

1120 Morris Park Ave
Ste 1B
Bronx, NY 10461
Phone (718) 684-6030

Practitioners & affiliated clinicians

Practitioners 2

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": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1346073970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 50TH ST APT 22F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196724",
            "telephone_number": "925-408-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MORRIS PARK AVE STE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611463",
            "telephone_number": "718-684-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMI PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_middle_name": "MONTASER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-673-9010",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.