Organization Active NPI

Kamiyama Physical Therapy PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1609439942
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KAMIYAMA PHYSICAL THERAPY PLLC
Practice address
1410 Broadway Concourse Level
New York, NY 10018
Phone
(201) 655-9029
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
KAMIYAMA PHYSICAL THERAPY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Kento KamiyamaNPI 1669750584
Title
Owner
Phone
(201) 655-9029

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

1410 Broadway Concourse Level
New York, NY 10018

Mailing address

1 Orient Way Ste F217
Rutherford, NJ 07070

National Provider Directory

National Provider Directory
Part of
Kamiyama Physical Therapy PLLC

Locations

1 Orient Way
Ste F217
Rutherford, NJ 07070

1410 Broadway
New York, NY 10018
Phone (212) 354-2225

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1609439942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ORIENT WAY STE F217",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY CONCOURSE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "201-655-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMIYAMA PHYSICAL THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAMIYAMA PHYSICAL THERAPY PLLC",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "KAMIYAMA",
        "authorized_official_first_name": "KENTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-655-9029"
    },
    "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 New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.