Impetus Physical Therapy PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

027944 Issued in NY

Legal business name

IMPETUS PHYSICAL THERAPY PLLC

Practice address

501 5TH Avenue
Room 2200
New York, NY 10017

Phone

(718) 360-8630

NPI assigned

Dec 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elisabeth Frank, DPT

Title

Physical Therpay

Phone

(718) 360-8630

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1528466612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 5TH AVE",
            "address_2": "ROOM 2200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176107",
            "telephone_number": "718-360-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 5TH AVENUE",
            "address_2": "ROOM 2200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "718-360-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPETUS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "PHYSICAL THERPAY",
        "authorized_official_telephone_number": "718-360-8630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "027944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.