Organization Active NPI

North Stride Physical Therapy of N.Y. PC

  • Physical Therapy Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1508635061
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NORTH STRIDE PHYSICAL THERAPY OF N.Y. PC
Practice address
10015 Queens Blvd Ste 202
Forest Hills, NY 11375-2465
Phone
(718) 806-1895
Fax
(347) 813-4989
NPI assigned
Dec 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Leah Lagumbay, RPTNPI 1538777651
Title
President
Phone
(201) 885-9527

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Clinic/Center 261Q00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10015 Queens Blvd Ste 202
Forest Hills, NY 11375-2465

Mailing address

10015 Queens Blvd Ste 202
Forest Hills, NY 11375-2465
Phone (718) 806-1895

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240425000157 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759721723 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1508635061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 QUEENS BLVD STE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752465",
            "telephone_number": "718-806-1895",
            "fax_number": "347-813-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 QUEENS BLVD STE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752465",
            "telephone_number": "718-806-1895",
            "fax_number": "347-813-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STRIDE PHYSICAL THERAPY OF N.Y. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "LAGUMBAY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-885-9527",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.