St Anthony's Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ST ANTHONY'S PHYSICAL THERAPY PC

Doing business as

St Anthony's Physical Therapy PC

Practice address

7214 67TH PL
Glendale, NY 11385-6957

Phone

(212) 920-5452

NPI assigned

Feb 6, 2020

Last updated

Feb 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boulos Samuel

Title

DPT

Phone

(212) 920-5452

Specialties & licenses 1

Addresses

Other names 1

• ST ANTHONY'S PHYSICAL THERAPY PC Doing business as

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1750913836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 67TH PL",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856957",
            "telephone_number": "212-920-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 67TH PL",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856957",
            "telephone_number": "212-920-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY'S PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "BOULOS",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "212-920-5452",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST ANTHONY'S PHYSICAL THERAPY PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Anne Spall, DO
• Amanda Spang, PHARMD
• Kristen Michele Spang, MA, SLP, TSSLD
• Spyros Tsoumpariotis (Spyros Tsoumpariotis DPM)
• SRN Chiropractic, PC
• Daphne St Valliere, LCSW
• Jeffrey Howard Stark, DPM
• Stats Medical Equipment, Inc.
• Synthia Fani Steiman, MS, OTR/L
• Michael Louis Steinberg, D.D.S.

• Physical Therapist in Glendale, NY
• Providers in Glendale, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.