Body Restoration Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

029070 Issued in NY

Legal business name

BODY RESTORATION PHYSICAL THERAPY, PLLC

Practice address

200 S Service Rd Ste 209
Roslyn Heights, NY 11577-2118

Phone

(516) 399-2503

Fax

(516) 908-3999

NPI assigned

Jan 7, 2013

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauradonna D'Antoni, DPTNPI 1386884161

Title

Owner/Physical Therapist

Phone

(516) 399-2503

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauradonna D'Antoni, DPT

  • Physical Therapist
  • Roslyn Heights, NY
  • NPI 1386884161
  Authorized official Same address or phone
• Richard Michael Levy, MSW NY LCSW

  • Clinical Social Worker
  • Centerport, NY
  • NPI 1821165929
  NPD (past)

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1699012971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S SERVICE RD STE 209",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772118",
            "telephone_number": "516-399-2503",
            "fax_number": "516-908-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SERVICE RD STE 209",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772118",
            "telephone_number": "516-399-2503",
            "fax_number": "516-908-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY RESTORATION PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "D'ANTONI",
        "authorized_official_first_name": "LAURADONNA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-399-2503",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "029070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josie Bishop, PH.D.
• Barry Philip Blank, PH.D.
• Marcia Blank, LCSW
• Kerrie Blumberg, PT
• BMJC Medical
• Body Zones Elite Physical Therapy Pas & Fitness PLLC
• Brad Richards Inc.
• Jillian Brass, PH.D.
• Allen Braunschweiger, D.M.D.
• Stacy Michele Brief, LMSW

• Physical Therapy Clinic/Center in Roslyn Heights, NY
• Providers in Roslyn Heights, 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 Jun 15, 2021; 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.