Iaso Physical Therapy P.C.

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

Organization subpart

No

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

Authorized official

Name

Mr. Christos Raptis, PHYSICAL THERAPIST

Title

President

Phone

(718) 644-8400

Specialties & licenses 1

Addresses

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": []
}

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• Physical Therapy Clinic/Center in Bayside, NY
• Providers in Bayside, 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 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.