NPIMap

Organization Active NPI

Nyconn Orthopaedic & Rehabilitation Specialists, PLLC

  • Physical Therapist
  • Carmel, NY
National Provider Identifier
1487639993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009815-1 Issued in NY
Legal business name
NYCONN ORTHOPAEDIC & REHABILITATION SPECIALISTS, PLLC
Practice address
667 Stoneleigh Ave
Suite 302
Carmel, NY 10512-2454
Phone
(914) 279-5550
Fax
(914) 279-3490
NPI assigned
Dec 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Johanna Elizabeth Lubbe, BSC.PHYS.HONS.
Title
Physical Therapist
Phone
(845) 279-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 009815-1 NY Primary

Addresses

Primary practice location

667 Stoneleigh Ave
Suite 302
Carmel, NY 10512-2454

Mailing address

8 Long Pond Rd
Waccabuc, NY 10597-1013
Phone (914) 763-0068

National Provider Directory

National Provider Directory
Tax ID family
Nyconn Orthopaedic Rehabalitation Specialists PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487639993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LONG POND RD",
            "city": "WACCABUC",
            "state": "NY",
            "postal_code": "105971013",
            "telephone_number": "914-763-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE",
            "address_2": "SUITE 302",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122454",
            "telephone_number": "914-279-5550",
            "fax_number": "914-279-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCONN ORTHOPAEDIC & REHABILITATION SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUBBE",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-279-5550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSC.PHYS.HONS."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009815-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.