Individual provider Active NPI

Janis Organ-Leudesdorff, PT

  • Physical Therapist
  • Floral Park, NY
National Provider Identifier
1699009100
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5543 Issued in NY
Practice address
1 Cisney Ave
Floral Park, NY 11001-3249
Phone
(516) 354-4045
Fax
(516) 354-4813
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5543 NY Primary

Addresses

Primary practice location

1 Cisney Ave
Floral Park, NY 11001-3249

Mailing address

1 Cisney Ave
Floral Park, NY 11001-3249
Phone (516) 354-4045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5543NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1699009100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CISNEY AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013249",
            "telephone_number": "516-354-4045",
            "fax_number": "516-354-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CISNEY AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013249",
            "telephone_number": "516-354-4045",
            "fax_number": "516-354-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGAN-LEUDESDORFF",
        "first_name": "JANIS",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "5543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.