Active NPI
Tory Physical Therapy PC
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1548798671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017990
- Legal business name
- TORY PHYSICAL THERAPY PC
- Practice address
- 1330A Rockland Ave
Staten Island, NY 10314-4944 - Phone
- (718) 619-2259
- Fax
- (718) 228-6731
- NPI assigned
- Jun 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenine Fuca
- Title
- Billing Manager
- Phone
- (718) 948-7320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017990 | NY | Primary |
Addresses
Primary practice location
1330A Rockland Ave
Staten Island, NY 10314-4944
Mailing address
7101 Minuteman LN
Somerset, NJ 08873-6105
Phone (718) 948-7320
Other names 2
- Revive Physical Therapy
- Tory Badalamenti
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1548798671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 MINUTEMAN LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088736105",
"telephone_number": "718-948-7320",
"fax_number": "718-448-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330A ROCKLAND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144944",
"telephone_number": "718-619-2259",
"fax_number": "718-228-6731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TORY PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-02",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "FUCA",
"authorized_official_first_name": "JENINE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "718-948-7320"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "017990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Revive Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tory Badalamenti",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.