NPIMap

Organization Active NPI

43Rd St. Physical Medicine and Rehabilitation, PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1609149582
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033599-1 Issued in NY
Legal business name
43RD ST. PHYSICAL MEDICINE AND REHABILITATION, PLLC
Practice address
311 W 43Rd St
Suite 1101
New York, NY 10036-6413
Phone
(212) 315-1412
Fax
(212) 315-1442
NPI assigned
Feb 22, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
John Labonete Rivas, PT
Title
Physical Therapist
Phone
(213) 304-0502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 033599-1 NY Primary

Addresses

Primary practice location

311 W 43Rd St
Suite 1101
New York, NY 10036-6413

Mailing address

311 W 43Rd St
Suite 1101
New York, NY 10036-6413
Phone (212) 315-1412

National Provider Directory

National Provider Directory

Locations

311 W 43rd St
Ste 1101
New York, NY 10036
Phone (212) 315-1412

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1609149582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 43RD ST",
            "address_2": "SUITE 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366413",
            "telephone_number": "212-315-1412",
            "fax_number": "212-315-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 43RD ST",
            "address_2": "SUITE 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366413",
            "telephone_number": "212-315-1412",
            "fax_number": "212-315-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "43RD ST. PHYSICAL MEDICINE AND REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LABONETE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "213-304-0502",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033599-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.