Active NPI
Independent PT OT Group
- Physical Therapy Clinic/Center
- Woodside, NY
National Provider Identifier
1558601831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 009071
- Legal business name
- INDEPENDENT PT OT GROUP
- Practice address
- 4277 65TH PL
Woodside, NY 11377-5054 - Phone
- (718) 429-2000
- Fax
- (718) 334-0057
- NPI assigned
- Feb 22, 2013
- 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
- Mr. Anatoly Spektor, OTR/L
- Title
- President
- Phone
- (718) 429-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 009071 | NY | Primary |
Addresses
Primary practice location
4277 65TH PL
Woodside, NY 11377-5054
Mailing address
4277 65TH PL
Woodside, NY 11377-5054
Phone (718) 429-2000
Other names 1
- NO PAIN PT & OT REHAB T& T PLLC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Occupational Therapist
- Woodside, NY
- NPI 1487847364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361491200000",
"number": "1558601831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4277 65TH PL",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775054",
"telephone_number": "718-429-2000",
"fax_number": "718-334-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4277 65TH PL",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775054",
"telephone_number": "718-429-2000",
"fax_number": "718-334-0057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT PT OT GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-22",
"last_updated": "2013-02-22",
"status": "A",
"authorized_official_last_name": "SPEKTOR",
"authorized_official_first_name": "ANATOLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-429-2000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "009071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NO PAIN PT & OT REHAB T& T PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.