Excelsior Physical Therapy, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

8699-1 Issued in NY

Legal business name

EXCELSIOR PHYSICAL THERAPY, PC

Practice address

133 E 58TH St
15TH Floor
New York, NY 10022-1236

Phone

(212) 751-8300

Fax

(212) 813-9455

NPI assigned

Mar 4, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Frank A D'Elia, P.T.

Title

President

Phone

(212) 751-8300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1609140995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST",
            "address_2": "15TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221236",
            "telephone_number": "212-751-8300",
            "fax_number": "212-813-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST",
            "address_2": "15TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221236",
            "telephone_number": "212-751-8300",
            "fax_number": "212-813-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-04",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "D'ELIA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-751-8300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "8699-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excella Medicine PC
• Excella Medicine PC
• Excelsior Empirehealth Ipa, LLC
• Excelsior Integrated Medical Group
• Excelsior Integrated Medical Group, PLLC
• Exceptional Individual Services Corp.
• Exceptional Medicine and Surgery PC
• Exceptional Wellness of New York Incorporated
• Exclusive Dental Studios
• Raphael Luis Gutierrez Exconde, LMSW

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.