Lemon Creek Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LEMON CREEK PHYSICAL THERAPY PC

Practice address

318 Seguine Ave
Staten Island, NY 10309-3941

Phone

(718) 356-9222

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Samer Fahmy Tawadros Dawood, DOCTOR OF PHYSICAL T

Title

Owner / Physical Therapist

Phone

(917) 589-0684

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1376146019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 SEGUINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093941",
            "telephone_number": "718-356-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 SEGUINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093941",
            "telephone_number": "718-356-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMON CREEK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "TAWADROS DAWOOD",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "FAHMY",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-589-0684",
        "authorized_official_credential": "DOCTOR OF PHYSICAL T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Lema, WHNP
• Maribel Lema
• Regina Lemberikman
• Teresa Marie Lemma, MD
• Edward Anthony Lemmo, PH.D., RD
• Lemon Little LLC
• Leonid Lempert, MD
• Sandra Lenahan, LMSW
• Lenlak Inc
• Lenlak Inc

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.