Organization Active NPI

Ultimate Physical Therapy

  • Physical Therapist
  • White Plains, NY
National Provider Identifier
1487717500
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0188881 Issued in NY
Legal business name
ULTIMATE PHYSICAL THERAPY
Practice address
25 W Red Oak LN
White Plains, NY 10604-3601
Phone
(914) 328-3750
Fax
(914) 328-6945
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Mr. Dominique Anthony Lopez, LMTNPI 1376091959
Title
Licensed Massage Therapist
Phone
(914) 328-3750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0188881 NY Primary

Addresses

Primary practice location

25 W Red Oak LN
White Plains, NY 10604-3601

Mailing address

25 W Red Oak LN
White Plains, NY 10604-3601
Phone (914) 328-3750

National Provider Directory

National Provider Directory

Locations

25 W Red Oak Ln
White Plains, NY 10604
Phone (914) 328-3750

2 William St
Ste 101
White Plains, NY 10601
Phone (914) 328-3750

Practitioners & affiliated clinicians

Practitioners 3

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1487717500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W RED OAK LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043601",
            "telephone_number": "914-328-3750",
            "fax_number": "914-328-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W RED OAK LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043601",
            "telephone_number": "914-328-3750",
            "fax_number": "914-328-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "914-328-3750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0188881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.