Organization Active NPI

Excellent Choice Physical Therapy, P.C.

  • Physical Therapist
  • Sunnyside, NY
National Provider Identifier
1396833653
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXCELLENT CHOICE PHYSICAL THERAPY, P.C.
Practice address
4701 Queens Blvd
Suite 402
Sunnyside, NY 11104-1600
Phone
(718) 729-5947
Fax
(718) 729-9168
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Mr. Lino Ong Chuang, P.T.NPI 1982791844
Title
President
Phone
(631) 396-1595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4701 Queens Blvd
Suite 402
Sunnyside, NY 11104-1600

Mailing address

4701 Queens Blvd
Suite 402
Sunnyside, NY 11104-1600
Phone (718) 729-5947

Other identifiers 3

IdentifierTypeStateIssuer
CK6669OtherNYRAILROAD MEDICARE
02292735MedicaidNY
CK6670OtherNYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

775 Park Ave
Ste 150
Huntington, NY 11743
Phone (631) 396-1595

180 E Pulaski Rd
Ste C
Huntington Station, NY 11746
Phone (631) 396-1595

4701 Queens Blvd
Ste 402
Sunnyside, NY 11104
Phone (718) 729-5947

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1396833653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "SUITE 402",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041600",
            "telephone_number": "718-729-5947",
            "fax_number": "718-729-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "SUITE 402",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041600",
            "telephone_number": "718-729-5947",
            "fax_number": "718-729-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT CHOICE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "CHUANG",
        "authorized_official_first_name": "LINO",
        "authorized_official_middle_name": "ONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-396-1595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK6669",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02292735",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK6670",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.