Organization Active NPI

Physical Therapy Specialists of New York, PLLC

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1598040016
Registry record updated Oct 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY SPECIALISTS OF NEW YORK, PLLC
Practice address
313 Nassau Blvd
Garden City, NY 11530-5313
Phone
(516) 307-1281
Fax
(516) 307-1282
NPI assigned
Oct 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2011

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

Authorized official

Name
Elmer Paderon Mabeza, PTNPI 1689739864
Title
Physical Therapist
Phone
(516) 307-1281

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

313 Nassau Blvd
Garden City, NY 11530-5313

Mailing address

313 Nassau Blvd
Garden City, NY 11530-5313
Phone (516) 307-1281

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1598040016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 NASSAU BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305313",
            "telephone_number": "516-307-1281",
            "fax_number": "516-307-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 NASSAU BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305313",
            "telephone_number": "516-307-1281",
            "fax_number": "516-307-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALISTS OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "MABEZA",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "PADERON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-307-1281",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.