Summit Physical Therapy and Rehabilitation, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUMMIT PHYSICAL THERAPY AND REHABILITATION, PLLC

Practice address

1763 Dutch Broadway
Elmont, NY 11003-5044

Phone

(347) 656-4109

NPI assigned

Mar 20, 2017

Last updated

Mar 20, 2017By 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

Randolph Bendo

Title

President

Phone

(347) 656-4109

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Jarra Mae Santos Gonzales, PTA

  • Physical Therapy Assistant
  • Elmont, NY
  • NPI 1922728781
  NPD (past)
• Liang Shao, PH.D

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1972570851
  NPD (past)
• Flora Tsang, MA, OTR/L

  • Occupational Therapist
  • Flushing, NY
  • NPI 1164677522
  NPD (past)
• Jennilyn Roberts, PT

  • Physical Therapist
  • Chesterfield, MI
  • NPI 1083957112
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1700327087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110035006",
            "telephone_number": "347-656-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110035044",
            "telephone_number": "347-656-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY AND REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "BENDO",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-656-4109"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Stewart, M.A, CCC-SLP, TSSLD
• Marjorie Marie Stiven
• Kebrina Stlouis
• Nicole Erica Stratchan
• Shandel A Sudlow
• Sun Medical Care of Nassau, P.C.
• Joanna Suppa, LCSW
• Dale Swain, RN
• Naz Swati
• Reneeangela Sweeney, RN

• Physical Therapist in Elmont, NY
• Providers in Elmont, 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 Mar 20, 2017; 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.