Organization Active NPI

Holy Spirit Physical Therapy PC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1508180357
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028236 Issued in NY
Legal business name
HOLY SPIRIT PHYSICAL THERAPY PC
Practice address
4110 163Rd St
FL1
Flushing, NY 11358-2606
Phone
(718) 886-0566
Fax
(718) 886-0522
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Randy F Lomboy, RPTNPI 1699973875
Title
President
Phone
(718) 886-0566

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 028236 NY Primary

Addresses

Primary practice location

4110 163Rd St
FL1
Flushing, NY 11358-2606

Mailing address

4110 163Rd St
FL1
Flushing, NY 11358-2606
Phone (718) 886-0566

Other identifiers 1

IdentifierTypeStateIssuer
1699973875OtherNYNPI

National Provider Directory

National Provider Directory

Locations

4110 163rd St
#1
Flushing, NY 11358
Phone (347) 732-0396

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": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1508180357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 163RD ST",
            "address_2": "FL1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582606",
            "telephone_number": "718-886-0566",
            "fax_number": "718-886-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 163RD ST",
            "address_2": "FL1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582606",
            "telephone_number": "718-886-0566",
            "fax_number": "718-886-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY SPIRIT PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "LOMBOY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-0566",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699973875",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.