Roadside Physical Therapy P.C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038663 Issued in NY

Legal business name

ROADSIDE PHYSICAL THERAPY P.C

Practice address

4011 Warren St
2F
Elmhurst, NY 11373-1700

Phone

(718) 898-1015

Fax

(718) 396-0407

NPI assigned

Dec 18, 2016

Last updated

Dec 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vaysa Yu Alipio, PTNPI 1235522095

Title

President

Phone

(702) 335-2847

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vaysa Alipio

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1235522095
  Medicare reassignment Authorized official
• Victoria Antoinette Abad Caram

  • Physical Medicine & Rehabilitation Physician
  • Elmhurst, NY
  • NPI 1801428784
  NPD

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1407390982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 83RD ST",
            "address_2": "2F",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 WARREN ST",
            "address_2": "2F",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731700",
            "telephone_number": "718-898-1015",
            "fax_number": "718-396-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADSIDE PHYSICAL THERAPY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "ALIPIO",
        "authorized_official_first_name": "VAYSA",
        "authorized_official_middle_name": "YU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-335-2847",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Conchita Rivera, LMSW
• Meilani Nia Rivera
• Nancy J Rivera, LCSW
• Natselany Rivera, M.S., CF-SLP, TSSLD
• Jose Aristides Roa, DDS
• Michael Jonathan Robbins, M.D.
• Roberto C. Granato, MDPC
• Roberto Gonzales Javier, Nurse Practitioner in Adult Health, P.L.L.C.
• Ayanna Roberts
• Gail-Ann V Roberts, LCSW, CASAC-T

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, 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 Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.