Organization Active NPI

Complete Spinal Physical Therapy

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1659752558
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
37149 Issued in NY
Legal business name
COMPLETE SPINAL PHYSICAL THERAPY
Practice address
2510 Westchester Ave Ste 104
Bronx, NY 10461-3585
Phone
(718) 892-2022
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Dr. Michael Scott Minick, D.C.
Title
Owner
Phone
(718) 892-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 37149 NY Primary

Addresses

Primary practice location

2510 Westchester Ave Ste 104
Bronx, NY 10461-3585

Mailing address

2510 Westchester Ave Ste 104
Bronx, NY 10461-3585
Phone (718) 892-2022

National Provider Directory

National Provider Directory

Locations

2510 Westchester Ave
Ste 104
Bronx, NY 10461
Phone (718) 892-2022

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1659752558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE STE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613585",
            "telephone_number": "718-892-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE STE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613585",
            "telephone_number": "718-892-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE SPINAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "MINICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-892-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "37149",
            "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 16, 2015; 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.