Active NPI
Central Physical Therapy, PC
- Physical Therapist
- Garden City, NY
National Provider Identifier
1780734749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
- Last updated
- Jun 12, 2009
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1103 Stewart Ave
Suite 100
Garden City, NY 11530-4886
Mailing address
1103 Stewart Ave
Suite 100
Garden City, NY 11530-4886
Phone (516) 745-1177
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Garden City, NY
- NPI 1255359485
NPI Registry JSON
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": []
}
Other providers in Garden City, NY
Sources for this page
- 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.