Emory Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014645 Issued in NY

Legal business name

EMORY PHYSICAL THERAPY PC

Practice address

106-01 Liberty Av
Ozone Park, NY 11417-1810

Phone

(917) 405-8340

Fax

(347) 427-2526

NPI assigned

Jun 5, 2017

Last updated

Jun 5, 2017By 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

Dr. Abiodun O Adeyemi, DPTNPI 1992948400

Title

Operation Manager

Phone

(917) 405-8340

Specialties & licenses 1

Addresses

Locations

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.

• Abiodun Olusina Adeyemi, PT

  • Physical Therapist
  • Mohegan Lake, NY
  • NPI 1992948400
  Authorized official Same address or phone

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1447789409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST UNIT 41",
            "city": "SHRUB OAK",
            "state": "NY",
            "postal_code": "105887502",
            "telephone_number": "917-405-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106-01 LIBERTY AV",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171810",
            "telephone_number": "917-405-8340",
            "fax_number": "347-427-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMORY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "ADEYEMI",
        "authorized_official_first_name": "ABIODUN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "917-405-8340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.