Thera Peak PT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

020711

Legal business name

THERA PEAK PT PC

Practice address

70 Avenue O
Brooklyn, NY 11204-6448

Phone

(347) 576-1604

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Michael B Lazo, PT

Title

President

Phone

(347) 576-1604

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1376819672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 AVENUE O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046448",
            "telephone_number": "347-576-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 AVENUE O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046448",
            "telephone_number": "347-576-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA PEAK PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "LAZO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-576-1604",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": "020711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "020711",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie-Cendy Theophile
• Shervone Theophilus, RN
• Thepurebaker, LLC
• Thera Concept Physical Therapy PC
• Thera Kids, PT PC
• Thera-Post LLC.
• Theracare
• Theracare
• Theracare
• Theraconnect Inc

• Physical Therapy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.