Organization Active NPI

Tendercare Physical Therapy PLLC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1639577646
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025655 Issued in NY
Legal business name
TENDERCARE PHYSICAL THERAPY PLLC
Practice address
23 Borg CT
Staten Island, NY 10302-2011
Phone
(718) 630-1300
Fax
(718) 921-6299
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Sumer Samhoury, MPT
Title
Owner
Phone
(917) 805-8367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 025655 NY Primary

Addresses

Primary practice location

23 Borg CT
Staten Island, NY 10302-2011

Mailing address

23 Borg CT
Staten Island, NY 10302-2011
Phone (718) 630-1300

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": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1639577646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BORG CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022011",
            "telephone_number": "718-630-1300",
            "fax_number": "718-921-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BORG CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022011",
            "telephone_number": "718-630-1300",
            "fax_number": "718-921-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERCARE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "SAMHOURY",
        "authorized_official_first_name": "SUMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-805-8367",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.