Lodes Acupuncture and Physical Therapy PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

0045351 Issued in NY

Legal business name

LODES ACUPUNCTURE AND PHYSICAL THERAPY PLLC

Practice address

6937 Myrtle Ave
Glendale, NY 11385-7265

Phone

(347) 665-8446

Fax

(718) 381-0700

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Jessie Jimenez

Title

Office Manager

Phone

(347) 665-8446

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1740639806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6937 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857265",
            "telephone_number": "347-665-8446",
            "fax_number": "718-381-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6937 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857265",
            "telephone_number": "347-665-8446",
            "fax_number": "718-381-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODES ACUPUNCTURE AND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "347-665-8446"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "0045351",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0271821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy C.H Liss, LMSW
• Maximilian Litovsky
• Little Wonder, Inc
• Little Wonders
• Little Wonders, Inc
• Kristina Lohre, LCSW
• Giustina Lombardo, PHARMD
• Martha Olga Londono, PT
• Londono'S Physical Therapy, PC
• Mariele L Lora

• Multi-Specialty Clinic/Center in Glendale, NY
• Providers in Glendale, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.