Lexington Corework PT LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LEXINGTON COREWORK PT LLC

Doing business as

Lexington Rehabilitation

Practice address

686 Lexington Ave
Suite 3S
New York, NY 10022-2614

Phone

(212) 888-4780

Fax

(212) 888-4782

NPI assigned

Jan 29, 2016

Organization subpart

No

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

Authorized official

Name

Ian Mari Micabalo, PT, OCS, CPI

Title

Proprietor

Phone

(212) 888-4780

Specialties & licenses 1

Addresses

Other names 1

• Lexington Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1669830170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 LEXINGTON AVE",
            "address_2": "SUITE 3S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222614",
            "telephone_number": "212-888-4780",
            "fax_number": "212-888-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 LEXINGTON AVE",
            "address_2": "SUITE 3S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222614",
            "telephone_number": "212-888-4780",
            "fax_number": "212-888-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON COREWORK PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "MICABALO",
        "authorized_official_first_name": "IAN MARI",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "212-888-4780",
        "authorized_official_credential": "PT, OCS, CPI"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lexington Avenue Medical PC
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• Lexington Avenue Vision Express LLC
• Lexington Chemists, Inc.
• Lexington Consulting Group, LLC
• Lexington Healthcare Inc
• Lexington Medical Associates PC
• Lexington Medical Group LLC
• Lexington Medical PLLC
• Lexington Medical Services, PLLC

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.