Organization Active NPI

Axiom PT& OT Plus,PLLC

  • Physical Therapist
  • Yonkers, NY
National Provider Identifier
1356763940
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AXIOM PT& OT PLUS,PLLC
Practice address
625 McLean Ave
Yonkers, NY 10705-4735
Phone
(914) 961-1010
Fax
(914) 961-1011
NPI assigned
Jan 15, 2014
Organization subpart
Yes
Parent organization
AXIOM PT AND OT PLUSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Ms. Christine A Ellis, MSPT
Title
Managing Partner
Phone
(914) 961-1010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

625 McLean Ave
Yonkers, NY 10705-4735

Mailing address

115 Main St
Suite 202 2ND Floor
Tuckahoe, NY 10707-2948
Phone (914) 961-1010

Other identifiers 1

IdentifierTypeStateIssuer
03282455MedicaidNY

Other names 1

  • Axiom PT & OT Plus,PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Axiom PT OT Pluspllc2 organizations share this tax ID, including this one
Part of
Axiom PT OT Pluspllc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1356763940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "address_2": "SUITE 202 2ND FLOOR",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072948",
            "telephone_number": "914-961-1010",
            "fax_number": "914-961-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054735",
            "telephone_number": "914-961-1010",
            "fax_number": "914-961-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM PT& OT PLUS,PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXIOM PT AND OT PLUS",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "914-961-1010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03282455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axiom PT & OT Plus,PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.