Cynthia Stich PT P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005310-1 Issued in NY

Legal business name

CYNTHIA STICH PT P.C.

Practice address

13621 Roosevelt Ave
Ste 409
Flushing, NY 11354-5507

Phone

(718) 888-9778

Fax

(718) 799-5360

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Lofgren Stich, P.T.

Title

Owner

Phone

(516) 652-8383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1467775916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-21 ROOSEVELT AVENUE",
            "address_2": "STE 409",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-888-9778",
            "fax_number": "718-799-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13621 ROOSEVELT AVE",
            "address_2": "STE 409",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545507",
            "telephone_number": "718-888-9778",
            "fax_number": "718-799-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA STICH PT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "STICH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LOFGREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-652-8383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "005310-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.