Select Chiropractic & Physical Therapy PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

024817-1 Issued in NY

Legal business name

SELECT CHIROPRACTIC & PHYSICAL THERAPY PLLC

Practice address

19413 Northern Blvd
Flushing, NY 11358-3032

Phone

(718) 428-3500

Fax

(718) 428-0800

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Theodosios Neamonitis

Title

Partner

Phone

(718) 428-3500

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1417227133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19413 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583032",
            "telephone_number": "718-428-3500",
            "fax_number": "718-428-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19413 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583032",
            "telephone_number": "718-428-3500",
            "fax_number": "718-428-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT CHIROPRACTIC & PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "NEAMONITIS",
        "authorized_official_first_name": "THEODOSIOS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-428-3500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006238",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "024817-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Flushing, NY
• Providers in Flushing, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.