Active NPI
Legend Rehabilitation-Acupuncture & Physical Therapy PC
- Physical Disabilities Residential Treatment Facility
- Staten Island, NY
National Provider Identifier
1588949747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 14071
- Legal business name
- LEGEND REHABILITATION-ACUPUNCTURE & PHYSICAL THERAPY PC
- Practice address
- 1481 Richmond Rd
Staten Island, NY 10304-2309 - Phone
- (718) 980-9888
- Fax
- (718) 980-1403
- NPI assigned
- Oct 19, 2011
- Last updated
- Oct 19, 2011
- 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. Lap C Ku, PT L.AC
- Title
- Director
- Phone
- (718) 980-9888
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 14071 | NY | Primary |
| Physical Disabilities Residential Treatment Facility | 320700000X | 001272-1 | NY |
Addresses
Primary practice location
1481 Richmond Rd
Staten Island, NY 10304-2309
Mailing address
1481 Richmond Rd
Staten Island, NY 10304-2309
Phone (718) 980-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1481 Richmond Rd
Staten Island, NY 10304
Phone (718) 980-9888
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- Staten Island, NY
- NPI 1508909748
-
- Physical Therapist
- Staten Island, NY
- NPI 1871194514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318982400000",
"number": "1588949747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1481 RICHMOND RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042309",
"telephone_number": "718-980-9888",
"fax_number": "718-980-1403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 RICHMOND RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042309",
"telephone_number": "718-980-9888",
"fax_number": "718-980-1403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGEND REHABILITATION-ACUPUNCTURE & PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-19",
"status": "A",
"authorized_official_last_name": "KU",
"authorized_official_first_name": "LAP",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-980-9888",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT L.AC"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "NY",
"license": "14071",
"primary": true
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "NY",
"license": "001272-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 19, 2011; 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.