Whitestone Physical Therapy of Queens PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012082-1 Issued in NY

Legal business name

WHITESTONE PHYSICAL THERAPY OF QUEENS PC

Practice address

15012 14TH Ave
LL1
Whitestone, NY 11357-1800

Phone

(718) 746-8757

Fax

(718) 746-3069

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Felix Robert Diaz, P.T.

Title

President

Phone

(718) 746-8757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chandni J Patel

  • Physical Therapist
  • Township of Washington, NJ
  • NPI 1497317622

  NY

  Medicare reassignment
• Gilberto A Diaz, DPT

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1780941443
  NPD
• Sandra Norman, D.P.T.

  • Physical Therapist
  • Glen Cove, NY
  • NPI 1750573499
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1649279019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 14TH AVE",
            "address_2": "LL1",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571800",
            "telephone_number": "718-746-8757",
            "fax_number": "718-746-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 14TH AVE",
            "address_2": "LL1",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571800",
            "telephone_number": "718-746-8757",
            "fax_number": "718-746-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESTONE PHYSICAL THERAPY OF QUEENS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-746-8757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012082-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Werbeck, MS
• Rachel Werman
• Whitestone Dental
• Whitestone Oral & Maxillofacial Surgery, LLC
• Whitestone Periodontics and Dental Implants PLLC
• Whitestone Podiatry PC
• Whitestone Vision Center
• Whitestonerx Inc
• Rachel Eun Wi
• Stephanie Widmer, D.O.

• Physical Therapist in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.