NPIMap

Organization Active NPI

Iaso Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Bayside, NY
National Provider Identifier
1467754341
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
026719 Issued in NY
Legal business name
IASO PHYSICAL THERAPY P.C.
Practice address
20839 30TH Ave
Bayside, NY 11360-2416
Phone
(718) 938-2075
Fax
(718) 301-0930
NPI assigned
Nov 25, 2010
Last updated
Oct 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Mr. Christos Raptis, PHYSICAL THERAPISTNPI 1437372083
Title
President
Phone
(718) 644-8400

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 026719 NY Primary

Addresses

Primary practice location

20839 30TH Ave
Bayside, NY 11360-2416

Mailing address

20839 30TH Ave
Bayside, NY 11360-2416
Phone (718) 938-2075

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1290643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1467754341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20839 30TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602416",
            "telephone_number": "718-938-2075",
            "fax_number": "718-301-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20839 30TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602416",
            "telephone_number": "718-938-2075",
            "fax_number": "718-301-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IASO PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-25",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "RAPTIS",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-644-8400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "026719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.