Organization Active NPI

JM Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1679829998
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
023347 Issued in NY
Legal business name
JM PHYSICAL THERAPY, PC
Practice address
112 E 61St St
New York, NY 10065-8514
Phone
(212) 867-1777
NPI assigned
Jul 25, 2012
Last updated
Jul 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Mr. Rick Romolo
Title
Manager
Phone
(772) 538-4047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 023347 NY Primary

Addresses

Primary practice location

112 E 61St St
New York, NY 10065-8514

Mailing address

112 E 61St St
New York, NY 10065-8514
Phone (212) 867-1777

Other identifiers 1

IdentifierTypeStateIssuer
023347OtherNYNY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
JM Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1679829998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658514",
            "telephone_number": "212-867-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658514",
            "telephone_number": "212-867-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "ROMOLO",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-538-4047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "023347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "023347",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.