Organization Active NPI

Northern Bronx Physical Therapy PC

  • Clinic/Center
  • Bronx, NY
National Provider Identifier
1649629809
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
016043 Issued in NY
Legal business name
NORTHERN BRONX PHYSICAL THERAPY PC
Practice address
665 Pelham Pkwy N
#2D
Bronx, NY 10467-8068
Phone
(718) 231-1877
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Mr. Gilray D Banawis, PT
Title
President
Phone
(718) 344-6089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 016043 NY Primary

Addresses

Primary practice location

665 Pelham Pkwy N
#2D
Bronx, NY 10467-8068

Mailing address

PO Box 69
Yonkers, NY 10710-0069

National Provider Directory

National Provider Directory

Locations

665 Pelham Pkwy N
Apt 2D
Bronx, NY 10467
Phone (718) 231-1877

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": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1649629809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107100069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N",
            "address_2": "#2D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678068",
            "telephone_number": "718-231-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN BRONX PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "BANAWIS",
        "authorized_official_first_name": "GILRAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-344-6089",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "016043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.