State of the Art Physical Therapy Rehabilitation,P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

0289721 Issued in NY

Legal business name

STATE OF THE ART PHYSICAL THERAPY REHABILITATION,P.C.

Practice address

173 Freeman Ave
Elmont, NY 11003-4906

Phone

(516) 993-0977

NPI assigned

Aug 27, 2007

Last updated

Apr 29, 2008By 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

Dr. Emilian Ifeoma Emeagwali, D.P.T.NPI 1932392941

Title

Director

Phone

(516) 993-0977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Emilian Ifeoma Emeagwali, DR PHYSICAL THERAPY

  • Physical Therapist
  • Elmont, NY
  • NPI 1932392941
  Medicare reassignment NPD Authorized official
• Marlene Barrett Ragkaswar

  • Occupational Therapist
  • Valley Stream, NY
  • NPI 1316068810
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1699969220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 FREEMAN AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034906",
            "telephone_number": "516-993-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 FREEMAN AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034906",
            "telephone_number": "516-993-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF THE ART PHYSICAL THERAPY REHABILITATION,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "EMEAGWALI",
        "authorized_official_first_name": "EMILIAN",
        "authorized_official_middle_name": "IFEOMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-993-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0289721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varda Souverain
• Spark Physical Therapy PLLC
• Spinal Chirporactic Diagnostics
• Soeurette St Albert
• Karen Elizabeth Staple, FNP
• Jenna Stewart, M.A, CCC-SLP, TSSLD
• Marjorie Marie Stiven
• Kebrina Stlouis
• Nicole Erica Stratchan
• Shandel A Sudlow

• Physical Therapy Clinic/Center in Elmont, NY
• Providers in Elmont, 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 Apr 29, 2008; 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.