Active NPI
Vista Medical Rehabilitation P.C
- Physical Therapy Clinic/Center
- Bronx, NY
National Provider Identifier
1477970135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- VISTA MEDICAL REHABILITATION P.C
- Practice address
- 2488 Grand Concourse
Bronx, NY 10458-5203 - Phone
- (718) 733-1000
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abiola Familusi
- Title
- Admin
- Phone
- (718) 327-7307
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2488 Grand Concourse
Bronx, NY 10458-5203
Mailing address
529 Beach 20TH St
Far Rockaway, NY 11691-3645
Phone (718) 327-7307
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Blanchester, OH
- NPI 1649351214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395187200000",
"number": "1477970135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 BEACH 20TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116913645",
"telephone_number": "718-327-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2488 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104585203",
"telephone_number": "718-733-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA MEDICAL REHABILITATION P.C",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A",
"authorized_official_last_name": "FAMILUSI",
"authorized_official_first_name": "ABIOLA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "718-327-7307",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.