Valley Stream Physical Therapy, P.C.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

017219-1 Issued in NY

Legal business name

VALLEY STREAM PHYSICAL THERAPY, P.C.

Practice address

123 Home St
Valley Stream, NY 11580-2705

Phone

(516) 343-0867

Fax

(888) 390-5143

NPI assigned

Jun 11, 2014

Last updated

Jun 11, 2014By 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

Ms. Glenda Castaneda, PT, DPT

Title

Sole Proprietor

Phone

(516) 343-0867

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenda Marie Hill, PT

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1609024439
  NPD (past)

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1538573126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HOME ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802705",
            "telephone_number": "516-343-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HOME ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802705",
            "telephone_number": "516-343-0867",
            "fax_number": "888-390-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STREAM PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "516-343-0867",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "017219-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Stream Optomerty & Optician PLLC (Howard Eyecare)
• Valley Stream Optometric Services PC
• Valley Stream Optometry PLLC (Howard Eyecare)
• Valley Stream Pharmacy Inc (Valley Stream Pharmacy)
• Valley Stream Pharmacy Inc (Valley Stream Pharmacy)
• Valley Stream Professional Medical Services, LLC
• Valley Stream RX Inc
• Valley Stream Ufsd #24
• Valley Stream Ufsd 13
• Valley Stream Ufsd 30

• Pediatric Physical Therapist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Pediatric Physical Therapist in New York

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