Active NPI
North Stride Physical Therapy of N.Y. PC
- Physical Therapy Clinic/Center
- Forest Hills, NY
National Provider Identifier
1508635061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah Lagumbay, RPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Physical Therapist
- Forest Hills, NY
- NPI 1538777651
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1134190499
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
- North Shore Hematology Oncology Associates PC
- North Shore Hematology/Oncology Associates PC
- North Shore Hematology/Oncology Associates PC
- North Shore University Hospital
- North Shore University Hospital at Forest Hills
- Northern Scripts Corp
- Northstar Medical PLLC
- Gail Notaro
- Francesca Noto, MA, CCC-SLP
- Nova Chiropractic Services PC
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.