New City Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028839-1 Issued in NY

Legal business name

NEW CITY PHYSICAL THERAPY LLC

Doing business as

Bardonia Rehabilitation Services

Practice address

490 Route 304
New City, NY 10956-3040

Phone

(845) 507-0477

Fax

(845) 507-0490

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Alexander Joseph Rosado, DPT

Title

Owner

Phone

(845) 507-0477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bardonia Rehabilitation Services Doing business as

Locations

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1467819672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 ROUTE 304",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563040",
            "telephone_number": "845-507-0477",
            "fax_number": "845-507-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 ROUTE 304",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563040",
            "telephone_number": "845-507-0477",
            "fax_number": "845-507-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CITY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-507-0477",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028839-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1427069731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bardonia Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in New City, NY
• Providers in New City, 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 Jan 19, 2016; 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.