Active NPI
Rehabilitation Physical Therapy Associates of Staten Island, P.C.
- Physical Therapy Clinic/Center
- Staten Island, NY
National Provider Identifier
1447262654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 7507
- Legal business name
- REHABILITATION PHYSICAL THERAPY ASSOCIATES OF STATEN ISLAND, P.C.
- Practice address
- 4079 Richmond Ave
Staten Island, NY 10312-5633 - Phone
- (718) 984-8400
- Fax
- (718) 984-8419
- NPI assigned
- Aug 13, 2006
- Last updated
- Oct 22, 2008
- 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
- Mr. Michael A Marino, PT
- Title
- Owner
- Phone
- (718) 984-8400
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 Therapy Clinic/Center | 261QP2000X | 7507 | NY | Primary |
Addresses
Primary practice location
4079 Richmond Ave
Staten Island, NY 10312-5633
Mailing address
4079 Richmond Ave
Staten Island, NY 10312-5633
Phone (718) 984-8400
National Provider Directory
National Provider DirectoryPractitioners & 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
- Staten Island, NY
- NPI 1912010638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224633600000",
"number": "1447262654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4079 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125633",
"telephone_number": "718-984-8400",
"fax_number": "718-984-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4079 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125633",
"telephone_number": "718-984-8400",
"fax_number": "718-984-8419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATION PHYSICAL THERAPY ASSOCIATES OF STATEN ISLAND, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2008-10-22",
"status": "A",
"authorized_official_last_name": "MARINO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-984-8400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "7507",
"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 Oct 22, 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.