Livica Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015653 Issued in NY

Legal business name

LIVICA PHYSICAL THERAPY P.C.

Practice address

2510 Westchester Ave
Suite 106
Bronx, NY 10461-3512

Phone

(718) 775-6025

NPI assigned

Aug 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edgardo Mesias Livica, R.P.T.

Title

President/Owner

Phone

(718) 775-6025

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1710179635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 LURTING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611509",
            "telephone_number": "718-822-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE",
            "address_2": "SUITE 106",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613512",
            "telephone_number": "718-775-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVICA PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "LIVICA",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "MESIAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-775-6025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02716585",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPLUS",
            "identifier": "P0P015653",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOUCHSTONE",
            "identifier": "0050992",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0129225",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2558827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yao Liu
• Yi Liu, MD, PHD
• Anna Liveris, MD
• Jkuan Liverpool
• Livewell Pharmacy Inc
• Edgardo Mesias Livica, RPT
• Eena Kaela Cimanes Livica, PT, ATC, CSCS, RYT
• Angela Rosa Livingston, M.S., CCC-SLP
• Shelley G. Livingston, LPN
• Carol Anne Livoti, M.D.,F.A.C.O.G.

• Physical Therapist in Bronx, NY
• Providers in Bronx, 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 Apr 5, 2011; 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.