New Venture Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NEW VENTURE PHYSICAL THERAPY PC

Practice address

100 Duffy Ave Ste 510
Hicksville, NY 11801-3636

Phone

(917) 886-5667

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Rodion Narkolayev

Title

Owner

Phone

(917) 886-5667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1699515510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DUFFY AVE STE 510",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DUFFY AVE STE 510",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013636",
            "telephone_number": "917-886-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VENTURE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "NARKOLAYEV",
        "authorized_official_first_name": "RODION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-886-5667"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Hicksville, NY
• Providers in Hicksville, 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 May 29, 2024; 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.