Active NPI
Body Zones Elite Physical Therapy Pas & Fitness PLLC
- Physical Therapist
- Roslyn Heights, NY
National Provider Identifier
1790950822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BODY ZONES ELITE PHYSICAL THERAPY PAS & FITNESS PLLC
- Practice address
- 23 Clover Lane
Roslyn Heights, NY 11577 - Phone
- (516) 582-8520
- NPI assigned
- Apr 29, 2008
- 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
- Ms. Fern Robin Toback, PT
- Title
- Medical Director
- Phone
- (516) 581-8520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
23 Clover Lane
Roslyn Heights, NY 11577
Mailing address
23 Clover Lane
Roslyn Heights, NY 11577
Phone (516) 582-8520
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231200000000",
"number": "1790950822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CLOVER LANE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "11577",
"telephone_number": "516-582-8520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 CLOVER LANE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "11577",
"telephone_number": "516-582-8520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY ZONES ELITE PHYSICAL THERAPY PAS & FITNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2009-01-06",
"status": "A",
"authorized_official_last_name": "TOBACK",
"authorized_official_first_name": "FERN",
"authorized_official_middle_name": "ROBIN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "516-581-8520",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"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 Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.