Organization Active NPI

Flex Life Physical Therapy Rehabilitation PLLC

  • Physical Therapist
  • Congers, NY
National Provider Identifier
1437970845
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FLEX LIFE PHYSICAL THERAPY REHABILITATION PLLC
Practice address
26 Beechwood Dr
Congers, NY 10920-1704
Phone
(510) 367-9995
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Anto Manalil, PTNPI 1235434523
Title
Owner
Phone
(510) 367-9995

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

26 Beechwood Dr
Congers, NY 10920-1704

Mailing address

26 Beechwood Dr
Congers, NY 10920-1704
Phone (510) 367-9995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241031002398 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860925617 Receives reassigned benefits from 1 practitioner
Practice locations: Congers, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1437970845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BEECHWOOD DR",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201704",
            "telephone_number": "510-367-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BEECHWOOD DR",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201704",
            "telephone_number": "510-367-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEX LIFE PHYSICAL THERAPY REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "MANALIL",
        "authorized_official_first_name": "ANTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-367-9995",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Congers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.