NPIMap

Organization Active NPI

Maroven Physical Therapy LLC

  • Physical Therapist
  • Rego Park, NY
National Provider Identifier
1629219894
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019658 Issued in NY
Legal business name
MAROVEN PHYSICAL THERAPY LLC
Practice address
6254 97TH PL
# 60
Rego Park, NY 11374-1346
Phone
(718) 830-0187
NPI assigned
Mar 17, 2009
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Maria Leslie Bellaflor, P.T.NPI 1487166278
Title
PT/Manager
Phone
(718) 830-0187

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 Therapist 225100000X 019658 NY Primary

Addresses

Primary practice location

6254 97TH PL
# 60
Rego Park, NY 11374-1346

Mailing address

6254 97TH PL
# 60
Rego Park, NY 11374-1346

National Provider Directory

National Provider Directory

Locations

6254 97th Pl
#60
Rego Park, NY 11374
Phone (718) 830-0187

9229 Queens Blvd
Ste 1E
Rego Park, NY 11374
Phone (317) 480-5516

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.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1629219894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6254 97TH PL",
            "address_2": "# 60",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 97TH PL",
            "address_2": "# 60",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741346",
            "telephone_number": "718-830-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAROVEN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "BELLAFLOR",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PT/MANAGER",
        "authorized_official_telephone_number": "718-830-0187",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.