Active NPI
Axiom PT& OT Plus,PLLC
- Physical Therapist
- Yonkers, NY
National Provider Identifier
1356763940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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 PLUS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03282455 | Medicaid | NY |
Other names 1
- Axiom PT & OT Plus,PLLC
National Provider Directory
National Provider Directory- Tax ID family
- Axiom PT OT Pluspllc
- 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.
-
- Orthotist
- Tuckahoe, NY
- NPI 1932484508
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.