Physiodynamics LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

010400-1 Issued in NY

Legal business name

PHYSIODYNAMICS LLC

Practice address

14431 Jamaica Ave
Jamaica, NY 11435-3623

Phone

(718) 206-9839

Fax

(718) 206-2149

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Carlos M Negron, DPT

Title

Doctor of Physical Therapy

Phone

(718) 206-9839

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1548629736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14431 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353623",
            "telephone_number": "718-206-9839",
            "fax_number": "718-206-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14431 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353623",
            "telephone_number": "718-206-9839",
            "fax_number": "718-206-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIODYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "NEGRON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "718-206-9839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "010400-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225380017",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoenix Home Care Sercives, LLC
• Phoenix Rises Medical Services, P.C.
• Physician Medical Services, PC
• Physio Rehab PT PC
• Physio-Alternative Physical Therapy PC
• Su Pann Phyu, PHARMD
• Yvonne Pichardo Neto, MS OTR/L
• Donna Pickersgill-Brown, B.S, CASAC-T
• Andromachi A Picoula, RPA-C, MS
• Joanna Piedrahita

• Physical Therapy Clinic/Center in Jamaica, NY
• Providers in Jamaica, 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 Feb 16, 2016; 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.