Organization Active NPI

Southern New York Physical Therapy & Chiropractic, PLLC

  • Physical Therapist
  • Johnson City, NY
National Provider Identifier
1730343955
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026333-1 Issued in NY
Legal business name
SOUTHERN NEW YORK PHYSICAL THERAPY & CHIROPRACTIC, PLLC
Practice address
240 Riverside Dr
Suite 4
Johnson City, NY 13790-2732
Phone
(607) 798-8800
Fax
(607) 798-8801
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Michael N Rouhana, D.C.
Title
Chiropractor/Owner
Phone
(607) 798-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 026333-1 NY Primary

Addresses

Primary practice location

240 Riverside Dr
Suite 4
Johnson City, NY 13790-2732

Mailing address

240 Riverside Dr
Suite 4
Johnson City, NY 13790-2732
Phone (607) 798-8800

National Provider Directory

National Provider Directory

Locations

240 Riverside Dr
#4
Johnson City, NY 13790
Phone (607) 798-8800

240 Riverside Dr
Ste 4
Johnson City, NY 13790
Phone (607) 798-8800

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1730343955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 RIVERSIDE DR",
            "address_2": "SUITE 4",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902732",
            "telephone_number": "607-798-8800",
            "fax_number": "607-798-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 RIVERSIDE DR",
            "address_2": "SUITE 4",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902732",
            "telephone_number": "607-798-8800",
            "fax_number": "607-798-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW YORK PHYSICAL THERAPY & CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "ROUHANA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "607-798-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026333-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.