Organization Active NPI

Universal Physical Therapy PLLC

  • Physical Therapist
  • Rockaway Beach, NY
National Provider Identifier
1558390740
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNIVERSAL PHYSICAL THERAPY PLLC
Practice address
8624 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1607
Phone
(718) 318-6554
Fax
(718) 318-7359
NPI assigned
Jul 1, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Vladimir TokarNPI 1578592747
Title
Chief Physical Therapist
Phone
(718) 318-6554

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

8624 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1607

Mailing address

8624 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1607
Phone (718) 318-6554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041007000626 NY Part B Supplier - Clinic/Group Practice 8224097944 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY; Rego Park, NY

National Provider Directory

National Provider Directory

Locations

9732 63rd Rd
Bsmt
Rego Park, NY 11374

8624 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 318-6554

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1558390740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931607",
            "telephone_number": "718-318-6554",
            "fax_number": "718-318-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8624 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931607",
            "telephone_number": "718-318-6554",
            "fax_number": "718-318-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "TOKAR",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "CHIEF PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-318-6554"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.