Staten Island Physical Therapy & Rehab, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

018380 Issued in NY

Legal business name

STATEN ISLAND PHYSICAL THERAPY & REHAB, PC

Practice address

116 Royal Oak Rd
Staten Island, NY 10314-2519

Phone

(718) 701-0626

NPI assigned

Aug 11, 2008

Last updated

Aug 11, 2008By 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

Mr. Philip S. Pesce, P.T.

Title

Owner / Operator

Phone

(718) 701-0626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1427204445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ROYAL OAK RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142519",
            "telephone_number": "718-701-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ROYAL OAK RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142519",
            "telephone_number": "718-701-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND PHYSICAL THERAPY & REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "718-701-0626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "018380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.