Bronx Dekalb Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

013814-1 Issued in NY

Legal business name

BRONX DEKALB PHYSICAL THERAPY

Practice address

3435 Dekalb Ave
Bronx, NY 10467-2301

Phone

(718) 547-8899

NPI assigned

Aug 20, 2008

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ma.Anelyn C. Suazo, PT

Title

Physical Therapist

Phone

(845) 309-3163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1528215738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 DEKALB AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672301",
            "telephone_number": "718-547-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 DEKALB AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672301",
            "telephone_number": "718-547-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX DEKALB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "SUAZO",
        "authorized_official_first_name": "MA.ANELYN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-309-3163",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "013814-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bronx Counseling Center LLC
• Bronx Dental Center Inc
• Bronx Dental,P.C.
• Bronx Dermatology (Fordham Dermatology)
• Bronx Diagnostic Radiology P.C.
• Bronx Digestive and Liver Disease PC

• Physical Therapy Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.