Shining Star Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

029064-1 Issued in NY

Legal business name

SHINING STAR PHYSICAL THERAPY PC

Practice address

1700 Great Neck Rd
Copiague, NY 11726-2723

Phone

(631) 608-8700

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Myra Ranada Labial, MS PTNPI 1043477037

Title

Owner

Phone

(347) 392-8515

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Myra Labial, P.T.

  • Physical Therapist
  • New York, NY
  • NPI 1043477037
  NPD (past) Authorized official

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1588178297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 HILLSIDE AVE APT 1C",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324800",
            "telephone_number": "347-392-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GREAT NECK RD",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117262723",
            "telephone_number": "631-608-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "LABIAL",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "RANADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-392-8515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "029064-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCE",
            "identifier": "0290641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Sarluca Shannon
• Ramin Sharga
• Nicole Shelby, RN
• John T Shilling, DDS
• Flora Sumin Shin
• Crystal Melonie Sikora
• Michael Silver, LMSW
• Anastasios Skoutakis
• Greer Julien Slovin, LMSW
• Alexa Lani Smith, LMSW

• Physical Therapy Clinic/Center in Copiague, NY
• Providers in Copiague, 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 Nov 17, 2017; 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.