Active NPI
Triboro Physical Therapy, PLLC
- Specialist
- Astoria, NY
National Provider Identifier
1700932969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0219831
- Legal business name
- TRIBORO PHYSICAL THERAPY, PLLC
- Practice address
- 2923 24TH Ave
Astoria, NY 11102-1129 - Phone
- (718) 606-9513
- NPI assigned
- Jan 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Philip Serras, P.T.
- Title
- Partner
- Phone
- (718) 606-9513
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0219831 | NY | Primary |
Addresses
Primary practice location
2923 24TH Ave
Astoria, NY 11102-1129
Mailing address
2923 24TH Ave
Astoria, NY 11102-1129
Phone (718) 606-9513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2923 24th Ave
Astoria, NY 11102
Phone (718) 606-9513
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Flushing, NY
- NPI 1942382510
-
- Physical Therapist
- Rego Park, NY
- NPI 1801970041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700932969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2923 24TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021129",
"telephone_number": "718-606-9513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2923 24TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021129",
"telephone_number": "718-606-9513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIBORO PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SERRAS",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "718-606-9513",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "0219831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.