PT Skilled Care

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

019097-1 Issued in NY

Legal business name

PT SKILLED CARE

Practice address

30 Roosevelt Ave
Staten Island, NY 10314-4122

Phone

(917) 613-8368

NPI assigned

Nov 24, 2011

Last updated

Nov 24, 2011By 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

Mr. Magdy Aziz, PTNPI 1750532040

Title

Physical Therapist

Phone

(917) 613-8368

Specialties & licenses 1

Addresses

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.

• Magdy Aziz, PHYSICAL THERAPIST

  • Pediatric Physical Therapist
  • Staten Island, NY
  • NPI 1750532040
  NPD (past) Authorized official

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

{
    "created_epoch": "1322092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322092800000",
    "number": "1780951459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ROOSEVELT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144122",
            "telephone_number": "917-613-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ROOSEVELT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144122",
            "telephone_number": "917-613-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT SKILLED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-24",
        "last_updated": "2011-11-24",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-613-8368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "019097-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew C Przybyla, MD
• Sydney Rose Przybysz, LMHC
• PS Occupational Therapy PC
• Christopher Pszczola, RN
• PT Health First P.T PC
• Gabrielle Pucciarelli, OTR/L
• Rachel Pucciarelli
• Rose M Pucciarelli, M.A., CCC-SLP
• Amanda Puccio
• Christian Puccio

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2011; 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.