Organization Active NPI

PLVG Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1508122698
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032552 Issued in NY
Legal business name
PLVG PHYSICAL THERAPY PC
Practice address
15 Bay 29 Street
3 A
Brooklyn, NY 11214
Phone
(718) 266-7700
Fax
(718) 266-7100
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Mr. Pablito Lycurgos Voces Go, PT
Title
President
Phone
(718) 266-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 032552 NY Primary

Addresses

Primary practice location

15 Bay 29 Street
3 A
Brooklyn, NY 11214

Mailing address

15 Bay 29 Street
3 A
Brooklyn, NY 11214
Phone (718) 266-7700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1508122698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BAY 29 STREET",
            "address_2": "3 A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-266-7700",
            "fax_number": "718-266-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BAY 29 STREET",
            "address_2": "3 A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-266-7700",
            "fax_number": "718-266-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLVG PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "PABLITO",
        "authorized_official_middle_name": "LYCURGOS VOCES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-266-7700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.