Arista Physical Therapy Wellness PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ARISTA PHYSICAL THERAPY WELLNESS PLLC

Practice address

30-16 30TH Drive
2ND FLR
Astoria, NY 11102-1890

Phone

(718) 777-2244

Fax

(718) 777-2254

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Kosta Kokolis, MSPT

Title

Owner

Phone

(187) 777-2244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1669773701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E 45TH ST FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172401",
            "telephone_number": "212-529-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-16 30TH DRIVE",
            "address_2": "2ND FLR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021890",
            "telephone_number": "718-777-2244",
            "fax_number": "718-777-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISTA PHYSICAL THERAPY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "KOKOLIS",
        "authorized_official_first_name": "KOSTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "187-777-2244",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Astoria, NY
• Providers in Astoria, 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 Aug 26, 2020; 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.