NPIMap

Organization Active NPI

Function Enhancing Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Astoria, NY
National Provider Identifier
1548449549
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
024863-1 Issued in NY
Legal business name
FUNCTION ENHANCING PHYSICAL THERAPY PLLC
Practice address
27-10 Astoria Blvd
Ground Floor
Astoria, NY 11102
Phone
(718) 545-8877
Fax
(718) 545-8879
NPI assigned
Oct 26, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nicolaos Spiratos, PTNPI 1376680207
Title
President
Phone
(718) 545-8877

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 024863-1 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

27-10 Astoria Blvd
Ground Floor
Astoria, NY 11102

Mailing address

2710 Astoria Blvd
Astoria, NY 11102-4358
Phone (718) 545-8877

Other practice location 1

3833 Woodside Ave
Woodside, NY 11377-2448
Phone (718) 205-1570

Other identifiers 1

IdentifierTypeStateIssuer
03269716MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080227000628 NY Part B Supplier - Clinic/Group Practice 1052495108 Receives reassigned benefits from 5 practitioners
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Locations

3276 31st St
Astoria, NY 11106
Phone (718) 545-7979

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548449549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024358",
            "telephone_number": "718-545-8877",
            "fax_number": "718-545-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27-10 ASTORIA BLVD",
            "address_2": "GROUND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11102",
            "telephone_number": "718-545-8877",
            "fax_number": "718-545-8879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3833 Woodside Ave",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113772448",
            "country_code": "US",
            "telephone_number": "718-205-1570",
            "fax_number": "718-205-1685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUNCTION ENHANCING PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SPIRATOS",
        "authorized_official_first_name": "NICOLAOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-545-8877",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "024863-1",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03269716",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.