Structural Synergy Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029003-1 Issued in NY

Legal business name

STRUCTURAL SYNERGY PHYSICAL THERAPY PC

Practice address

873 Broadway
Suite 414
New York, NY 10003-1231

Phone

(646) 543-1562

NPI assigned

Feb 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry Lang, DPT

Title

President

Phone

(646) 543-1562

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1396041752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 BROADWAY",
            "address_2": "SUITE 414",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031231",
            "telephone_number": "646-543-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 BROADWAY",
            "address_2": "SUITE 414",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031231",
            "telephone_number": "646-543-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURAL SYNERGY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-543-1562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029003-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Struan H Coleman MD LLC
• Abigail Strubel, M.A., LCSW
• Naomi Anne Strubel, M.D.
• Danielle Struble-Fitzsimmons, PT, DPT, PHD
• Structural Correction Physical Therapy and Chiropractic PLLC
• Heather A. Struhl, PA-C
• Steven Struhl, MD
• Harry Strulovici, M.D.
• Erica D Strum
• Tatum Adeimy Strum, MS, CCC-SLP

• Physical Therapist in New York, NY
• Providers in New York, 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 May 23, 2016; 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.