Organization Active NPI

Thera Dynamic Physical Therapy P.C

  • Physical Therapist
  • Woodhaven, NY
National Provider Identifier
1750471124
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025591-0 Issued in NY
Legal business name
THERA DYNAMIC PHYSICAL THERAPY P.C
Practice address
7922 Jamaica Ave
Woodhaven, NY 11421-1801
Phone
(347) 494-5684
Fax
(347) 494-5641
NPI assigned
Oct 13, 2006
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Lee-Zel May Caringal Andres, PTNPI 1760591465
Title
President
Phone
(347) 494-5684

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: 193400000X SINGLE SPECIALTY GROUP 225100000X 025591-0 NY Primary

Addresses

Primary practice location

7922 Jamaica Ave
Woodhaven, NY 11421-1801

Mailing address

5043 213TH St
Bayside Hills, NY 11364-1221
Phone (917) 783-8616

Other practice location 1

4702 47th Ave
Woodside, NY 11377-6125
Phone (718) 532-4705

Other identifiers 11

IdentifierTypeStateIssuer
82ADC1OtherNYEMPIRE BCBS
P4059437OtherNYOXFORD FREEDOM
OP025591OtherNYMETROPLUS
PT025591-A85OtherNYHEALTHFIRST
1760591465-01OtherNYVILLAGE CARE
841087OtherNYOPTUM HEALTH
PH0434OtherNYELDER PLAN
1263296POtherNYEMBLEM HEALTH
01941401OtherNYEMPIRE BCBS HEALTHPLUS
02837832MedicaidNY
2766209OtherNYUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080418000354 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264534759 Receives reassigned benefits from 3 practitioners
Practice locations: Flushing, NY; Woodhaven, NY; Woodside, NY

National Provider Directory

National Provider Directory

Locations

4125 Kissena Blvd
Ste 126
Flushing, NY 11355
Phone (718) 888-0338

7922 Jamaica Ave
Woodhaven, NY 11421
Phone (347) 494-5684

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1750471124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5043 213TH ST",
            "city": "BAYSIDE HILLS",
            "state": "NY",
            "postal_code": "113641221",
            "telephone_number": "917-783-8616",
            "fax_number": "347-732-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211801",
            "telephone_number": "347-494-5684",
            "fax_number": "347-494-5641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4702 47th Ave",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113776125",
            "country_code": "US",
            "telephone_number": "718-532-4705",
            "fax_number": "347-494-5641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERA DYNAMIC PHYSICAL THERAPY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "LEE-ZEL MAY",
        "authorized_official_middle_name": "CARINGAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-494-5684",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025591-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "82ADC1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD FREEDOM",
            "identifier": "P4059437",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPLUS",
            "identifier": "OP025591",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "PT025591-A85",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VILLAGE CARE",
            "identifier": "1760591465-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH",
            "identifier": "841087",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER PLAN",
            "identifier": "PH0434",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMBLEM HEALTH",
            "identifier": "1263296P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS HEALTHPLUS",
            "identifier": "01941401",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02837832",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2766209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.