Individual provider Active NPI

Patricia Arzic, RPT

  • Physical Therapist
  • Jackson Heights, NY
National Provider Identifier
1699809780
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015377-1 Issued in NY
Practice address
3717 90TH St FL 1
Jackson Heights, NY 11372-7868
Phone
(718) 505-0707
Fax
(718) 505-9199
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015377-1 NY Primary
Orthopedic Physical Therapist 2251X0800X 015377-1 NY
Physical Therapy Clinic/Center 261QP2000X 015377-1 NY
Clinical Electrophysiology Physical Therapist 2251E1300X 015377-1 NY

Addresses

Primary practice location

3717 90TH St FL 1
Jackson Heights, NY 11372-7868

Mailing address

3717 90TH St FL 1
Jackson Heights, NY 11372-7868
Phone (718) 505-0707

Other identifiers 1

IdentifierTypeStateIssuer
02229445MedicaidNY

Other names 1

  • Mrs. Patricia Arzic Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000262 NY Practitioner - Physical Therapist in Private Practice 2163569856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015377-1NYMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health One Physical Therapy,PC Physical Therapy CurrentSince Apr 15, 2002 Accepting new patients
Health One Physical Therapy, PC Physical Therapy CurrentSince Apr 15, 2002 Accepting new patients
Patricia Arzic RPT Physical Therapy Past Accepting new patients

Locations

384 E 149th St
Ste 318
Bronx, NY 10455
Phone (718) 401-6888

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1699809780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 90TH ST FL 1",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727868",
            "telephone_number": "718-505-0707",
            "fax_number": "718-505-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 90TH ST FL 1",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727868",
            "telephone_number": "718-505-0707",
            "fax_number": "718-505-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARZIC",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015377-1",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "015377-1",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "015377-1",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "NY",
            "license": "015377-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02229445",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ARZIC",
            "prefix": "MRS.",
            "credential": "RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.