Core Basics PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CORE BASICS PT PC

Practice address

780 8TH Ave
Ste # 201
New York, NY 10036-7000

Phone

(212) 300-7069

Fax

(212) 731-0267

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Lkaled Nasr, DPT

Title

Owner

Phone

(212) 300-7069

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1346610730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 ACADEMY LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662112",
            "telephone_number": "212-300-7069",
            "fax_number": "212-731-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 8TH AVE",
            "address_2": "STE # 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367000",
            "telephone_number": "212-300-7069",
            "fax_number": "212-731-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE BASICS PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "NASR",
        "authorized_official_first_name": "LKALED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-300-7069",
        "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.