Active NPI
Apollo Physical Therapy & Physical Therapist Assistant, PLLC
- Physical Therapist
- New York, NY
National Provider Identifier
1497974067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23023690
- Legal business name
- APOLLO PHYSICAL THERAPY & PHYSICAL THERAPIST ASSISTANT, PLLC
- Practice address
- 304 W 117TH St
New York, NY 10026-1573 - Phone
- (917) 493-9600
- Fax
- (917) 493-2078
- NPI assigned
- Apr 24, 2007
- 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
- Mr. Armando C Pennella, PTA
- Title
- Manager
- Phone
- (917) 493-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23023690 | NY | Primary |
Addresses
Primary practice location
304 W 117TH St
New York, NY 10026-1573
Mailing address
304 W 117TH St
New York, NY 10026-1573
Phone (917) 493-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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.
-
- Physical Therapist
- New York, NY
- NPI 1649357997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248134400000",
"number": "1497974067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 W 117TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261573",
"telephone_number": "917-493-9600",
"fax_number": "917-493-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W 117TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261573",
"telephone_number": "917-493-9600",
"fax_number": "917-493-2078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO PHYSICAL THERAPY & PHYSICAL THERAPIST ASSISTANT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2009-07-21",
"status": "A",
"authorized_official_last_name": "PENNELLA",
"authorized_official_first_name": "ARMANDO",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-493-9600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PTA"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "23023690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.