Personal Touch Rehabilitation PT, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018199-1 Issued in NY

Legal business name

PERSONAL TOUCH REHABILITATION PT, PLLC

Practice address

243 Boyle Rd
Selden, NY 11784-1929

Phone

(631) 320-3603

Fax

(631) 320-3606

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Karen Lincoln Conzo, MSPT

Title

Owner/Managing Employee

Phone

(631) 320-3603

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1649687708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 BOYLE RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841929",
            "telephone_number": "631-320-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 BOYLE RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841929",
            "telephone_number": "631-320-3603",
            "fax_number": "631-320-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL TOUCH REHABILITATION PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "CONZO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LINCOLN",
        "authorized_official_title_or_position": "OWNER/MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "631-320-3603",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018199-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Selden, NY
• Providers in Selden, 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 Sep 29, 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.