Organization Active NPI

Resilient Physical Therapy PLLC

  • Physical Therapist
  • Yorktown Heights, NY
National Provider Identifier
1366049397
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESILIENT PHYSICAL THERAPY PLLC
Practice address
3251 N Deerfield Ave
Yorktown Heights, NY 10598-1909
Phone
(516) 606-2845
NPI assigned
Oct 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Roshan Dominic
Title
Owner
Phone
(516) 606-2845

Specialties & licenses 1

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

Addresses

Primary practice location

3251 N Deerfield Ave
Yorktown Heights, NY 10598-1909

Mailing address

3251 N Deerfield Ave
Yorktown Heights, NY 10598-1909

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1366049397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N DEERFIELD AVE",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N DEERFIELD AVE",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981909",
            "telephone_number": "516-606-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "DOMINIC",
        "authorized_official_first_name": "ROSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-606-2845"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.