Active NPI
One on One Physical Therapy of Forest Avenue PC
- Physical Therapist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ONE ON ONE PHYSICAL THERAPY OF FOREST AVENUE PC
- Practice address
- 1351 Forest Ave
Staten Island, NY 10302-2049 - Phone
- (718) 390-0067
- Fax
- (718) 390-0060
- NPI assigned
- Mar 7, 2013
- Last updated
- Mar 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Bodian
- Title
- Owner
- Phone
- (718) 370-3500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1351 Forest Ave
Staten Island, NY 10302-2049
Mailing address
31 New Dorp LN
Staten Island, NY 10306-2351
Phone (718) 370-3500
National Provider Directory
National Provider DirectoryLocations
31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1679649735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362614400000",
"number": "1417298001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 NEW DORP LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062351",
"telephone_number": "718-370-3500",
"fax_number": "718-979-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 FOREST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103022049",
"telephone_number": "718-390-0067",
"fax_number": "718-390-0060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE ON ONE PHYSICAL THERAPY OF FOREST AVENUE PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A",
"authorized_official_last_name": "BODIAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-370-3500"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.