Organization Active NPI

CT Physical Therapy Care, P.C.

  • Physical Therapist
  • Woodside, NY
National Provider Identifier
1710284559
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029899 Issued in NY
Legal business name
CT PHYSICAL THERAPY CARE, P.C.
Practice address
4310 52ND St
Woodside, NY 11377-4542
Phone
(347) 989-7979
Fax
(718) 255-1288
NPI assigned
Feb 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Chester Jay Reganit Tolentino, PHYSICAL THERAPISTNPI 1972819241
Title
Owner
Phone
(347) 989-7979

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 029899 NY Primary

Addresses

Primary practice location

4310 52ND St
Woodside, NY 11377-4542

Mailing address

4310 52ND St
Woodside, NY 11377-4542
Phone (347) 989-7979

Other identifiers 1

IdentifierTypeStateIssuer
3257756MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110408000181 NY Part B Supplier - Clinic/Group Practice 0042494403 Receives reassigned benefits from 1 practitioner
Practice locations: Woodside, NY

National Provider Directory

National Provider Directory

Locations

4519 162nd St
Ste 2
Flushing, NY 11358
Phone (347) 400-0921

4341 52nd St
Woodside, NY 11377
Phone (718) 255-6229

440 Nepperhan Ave
Ste 225
Yonkers, NY 10701

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1710284559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 52ND ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774542",
            "telephone_number": "347-989-7979",
            "fax_number": "718-255-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 52ND ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774542",
            "telephone_number": "347-989-7979",
            "fax_number": "718-255-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT PHYSICAL THERAPY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "TOLENTINO",
        "authorized_official_first_name": "CHESTER JAY",
        "authorized_official_middle_name": "REGANIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-989-7979",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3257756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.