Smile Stride Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SMILE STRIDE PHYSICAL THERAPY PC

Practice address

8744 52ND Ave
Elmhurst, NY 11373-3938

Phone

(917) 501-4470

NPI assigned

May 5, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Kaye Vargas

Title

PT, DPT

Phone

(914) 501-4470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Soliven Vargas, PT

  • Physical Therapist
  • Pearl River, NY
  • NPI 1083340459
  Medicare reassignment NPD

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1699564880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8744 52ND AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8744 52ND AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733938",
            "telephone_number": "917-501-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STRIDE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "KATHLEEN KAYE",
        "authorized_official_title_or_position": "PT, DPT",
        "authorized_official_telephone_number": "914-501-4470",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Elmhurst, NY
• Providers in Elmhurst, 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 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.