Organization Active NPI

Tory Physical Therapy PC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1548798671
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017990 Issued in NY
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

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as
  • Tory Badalamenti Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.