Organization Active NPI

Ellen and Lauren Physical Therapy PLLC

  • Physical Therapist
  • Long Island City, NY
National Provider Identifier
1487242269
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELLEN AND LAUREN PHYSICAL THERAPY PLLC
Practice address
4470 21St St # 3129
Long Island City, NY 11101-5114
Phone
(347) 968-2426
NPI assigned
Jan 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Authorized official

Name
Ellen Chang
Title
Owner
Phone
(347) 968-2426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4470 21St St # 3129
Long Island City, NY 11101-5114

Mailing address

4470 21St St # 3129
Long Island City, NY 11101-5114
Phone (347) 968-2426

National Provider Directory

National Provider Directory

Locations

32 W 28th St
Fl 4
New York, NY 10001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613865600000",
    "number": "1487242269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 21ST ST # 3129",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015114",
            "telephone_number": "347-968-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 21ST ST # 3129",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015114",
            "telephone_number": "347-968-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN AND LAUREN PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-968-2426"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.