Organization Active NPI

Core Alliance Physical Therapy,PLLC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1356689509
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31375 Issued in NY
Legal business name
CORE ALLIANCE PHYSICAL THERAPY,PLLC
Practice address
14809 Northern Blvd
Flushing, NY 11354-4346
Phone
(718) 886-4188
Fax
(718) 886-6088
NPI assigned
Jan 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Dr. Evelyn Li, DPT
Title
Owner
Phone
71888660088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 31375 NY Primary

Addresses

Primary practice location

14809 Northern Blvd
Flushing, NY 11354-4346

Mailing address

14809 Northern Blvd
Flushing, NY 11354-4346
Phone (718) 886-4188

National Provider Directory

National Provider Directory

Locations

14809 Northern Blvd
Flushing, NY 11354
Phone (718) 864-9230

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1356689509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14809 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544346",
            "telephone_number": "718-886-4188",
            "fax_number": "718-886-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14809 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544346",
            "telephone_number": "718-886-4188",
            "fax_number": "718-886-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ALLIANCE PHYSICAL THERAPY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "71888660088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "31375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.