Saint Tadros Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036272 Issued in NY

Legal business name

SAINT TADROS PHYSICAL THERAPY PC

Practice address

71 Piquets LN
Woodbury, NY 11797-2213

Phone

(727) 460-5584

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Emad S Awadallah, PTNPI 1013332972

Title

Owner

Phone

(727) 460-5584

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emad Samy Awadallah

  • Physical Therapist
  • Woodbury, NY
  • NPI 1013332972
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1518359769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PIQUETS LN",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972213",
            "telephone_number": "727-460-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PIQUETS LN",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972213",
            "telephone_number": "727-460-5584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 E Tremont Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104604146",
            "country_code": "US",
            "telephone_number": "727-460-5584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAINT TADROS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "AWADALLAH",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-460-5584",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey T. Rothstein, D.M.D.
• Brian Michael Rubenstein, D.D.S.
• Kenneth Rubenstein, D.D.S.
• Marvin Russo, OTR/L
• Katherine Sadis
• Shelby A Saks, LCSW
• Carly Isabel Saunders
• Steven Andrew Savella, M.D.
• Elena Savvides, LCAT
• Douglas Schildhaus, D.M.D.

• Physical Therapist in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.