Organization Active NPI

Resilient Care Physical Therapy, PC

  • Physical Therapist
  • Woodside, NY
National Provider Identifier
1497151310
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030029 Issued in NY
Legal business name
RESILIENT CARE PHYSICAL THERAPY, PC
Practice address
5718 Woodside Ave Ste Basement
B102
Woodside, NY 11377-3415
Phone
(718) 426-7900
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Maria Morcilla-Alarcon, DPT
Title
Physical Therapist
Phone
(718) 426-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030029 NY Primary

Addresses

Primary practice location

5718 Woodside Ave Ste Basement
B102
Woodside, NY 11377-3415

Mailing address

5718 Woodside Ave Ste Basement
B102
Woodside, NY 11377-3415
Phone (718) 426-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317001966 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6709103401 Receives reassigned benefits from 3 practitioners
Practice locations: Woodside, NY; New York, NY; Flushing, NY; Astoria, NY; Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

4215 Broadway
Fl 1
Astoria, NY 11103
Phone (718) 426-7900

5718 Woodside Ave
#B12
Woodside, NY 11377
Phone (718) 426-7900

5718 Woodside Ave
Ste B102
Woodside, NY 11377
Phone (718) 426-7900

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1497151310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 WOODSIDE AVE STE BASEMENT",
            "address_2": "B102",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773415",
            "telephone_number": "718-426-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 WOODSIDE AVE STE BASEMENT",
            "address_2": "B102",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773415",
            "telephone_number": "718-426-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT CARE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "MORCILLA-ALARCON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-426-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.