Organization Active NPI

Thera Ex Orthopedic & Sports Physical Therapy, PC

  • Physical Therapist
  • Yonkers, NY
National Provider Identifier
1649485772
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10597 Issued in NY
Legal business name
THERA EX ORTHOPEDIC & SPORTS PHYSICAL THERAPY, PC
Doing business as
TheraEx orthopedic &sports physical therapy pc
Practice address
4 Tuckahoe Rd
Yonkers, NY 10710-5319
Phone
(914) 476-0951
Fax
(914) 476-0948
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Ms. Delia Estonilo Plaza, P.T.NPI 1467537514
Title
Physical Therapist
Phone
(914) 476-0951

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 10597 NY Primary

Addresses

Primary practice location

4 Tuckahoe Rd
Yonkers, NY 10710-5319

Mailing address

4 Tuckahoe Rd
Yonkers, NY 10710-5319
Phone (914) 476-0951

Other names 1

  • TheraEx orthopedic &sports physical therapy pc Doing business as

National Provider Directory

National Provider Directory

Locations

4 Tuckahoe Rd
Yonkers, NY 10710
Phone (914) 476-0951

984 N Broadway
Ste LL02
Yonkers, NY 10701
Phone (914) 476-0951

Practitioners & affiliated clinicians

Practitioners 4

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1649485772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TUCKAHOE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105319",
            "telephone_number": "914-476-0951",
            "fax_number": "914-476-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TUCKAHOE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105319",
            "telephone_number": "914-476-0951",
            "fax_number": "914-476-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA EX ORTHOPEDIC & SPORTS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "PLAZA",
        "authorized_official_first_name": "DELIA",
        "authorized_official_middle_name": "ESTONILO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "914-476-0951",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "10597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraEx orthopedic &sports physical therapy pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.