Organization Active NPI

Synthesis Physical Therapy

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1508261470
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
023255 Issued in NY
Legal business name
SYNTHESIS PHYSICAL THERAPY
Practice address
322 W 52ND St
#199
New York, NY 10101-9401
Phone
(646) 504-1328
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Oluwaseyi Ojofeitimi, PT
Title
Owner
Phone
(646) 504-1328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 023255 NY Primary

Addresses

Primary practice location

322 W 52ND St
#199
New York, NY 10101-9401

Mailing address

322 W 52ND St
#199
New York, NY 10101-9401

Other names 1

  • Divine Physical Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

322 W 52nd St
Unit 199
New York, NY 10101
Phone (646) 504-1328

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1508261470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W 52ND ST",
            "address_2": "#199",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101019401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W 52ND ST",
            "address_2": "#199",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101019401",
            "telephone_number": "646-504-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNTHESIS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "OJOFEITIMI",
        "authorized_official_first_name": "OLUWASEYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-504-1328",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "023255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 4, 2014; 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.