Theracore OT, PC

Primary specialty

ContractorTaxonomy code 171W00000X

License

011975 Issued in NY

Legal business name

THERACORE OT, PC

Practice address

778 Morris Park Ave # 38
Bronx, NY 10462-3652

Phone

(800) 678-8605

NPI assigned

Feb 10, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Benito A Flores, OT

Title

Owner

Phone

(845) 480-1760

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523750400000",
    "number": "1720526668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 MORRIS PARK AVE # 38",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623652",
            "telephone_number": "800-678-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 MORRIS PARK AVE # 38",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623652",
            "telephone_number": "800-678-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACORE OT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2018-04-15",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "BENITO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-480-1760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "NY",
            "license": "011975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theracare
• Theracare
• Theracare
• Theracare
• Theracare
• Theradynamics Physical Rehab
• Theradynamics Physical Rehab
• Theradynamics Physical Rehabilitation
• Theradynamics Physical Therapy Rehabilitation PC
• Theradynamics Rehab. PT, OT & SLP, PLLC

• Contractor in Bronx, NY
• Providers in Bronx, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; 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.