Central Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CENTRAL PHYSICAL THERAPY, PC

Practice address

1103 Stewart Ave
Suite 100
Garden City, NY 11530-4886

Phone

(516) 745-1177

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey Corben, P.T.

Title

Administrator

Phone

(516) 745-1177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1780734749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 STEWART AVE",
            "address_2": "SUITE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304886",
            "telephone_number": "516-745-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 STEWART AVE",
            "address_2": "SUITE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304886",
            "telephone_number": "516-745-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "CORBEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-745-1177",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Anne Cerqueira, MS, MHC
• Alexandra Margaret Cerrati
• John Anthony Cerrato, D.M.D.
• Lora Cerrato
• Jennifer Cerullo, PT

• Physical Therapist in Garden City, NY
• Providers in Garden City, 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 Jun 12, 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.