Primavera Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028150 Issued in NY

Legal business name

PRIMAVERA PHYSICAL THERAPY PC

Practice address

280 Broadway
Suite 2
Newburgh, NY 12550-5408

Phone

(732) 867-4717

NPI assigned

Mar 27, 2017

Organization subpart

No

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

Authorized official

Name

Raouf Akl, DPT

Title

DPT

Phone

(732) 867-4717

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1689105041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BROADWAY",
            "address_2": "SUITE 2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BROADWAY",
            "address_2": "SUITE 2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505408",
            "telephone_number": "732-867-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAVERA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "AKL",
        "authorized_official_first_name": "RAOUF",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "732-867-4717",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sovan Powell
• Smruti Prasad, PT
• Reccell Encarre Alibin Pre, M.D.
• Jeanne Marie Price, R.N.
• Leon Priester, CASAC II
• Private Duty Nursing
• Prosthetic Rehabilitation Center
• George F. Protopapas, MD
• Christiane Pryne, OTR/L
• Psychotherapy and Mediation LCSW P C (none)

• Physical Therapist in Newburgh, NY
• Providers in Newburgh, 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 Mar 27, 2017; 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.