NPIMap

Organization Active NPI

Ladybird Clinical Rehab PT PC

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1801171822
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
017803 Issued in NY
Legal business name
LADYBIRD CLINICAL REHAB PT PC
Practice address
3167 E Tremont Ave # B
Bronx, NY 10461-5718
Phone
(347) 810-9742
Fax
(347) 810-9743
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Ladybird Manangan Reyes, B.S.P.T.NPI 1750696530
Title
President
Phone
(347) 810-9742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 017803 NY Primary

Addresses

Primary practice location

3167 E Tremont Ave # B
Bronx, NY 10461-5718

Mailing address

14 Park Ave
New City, NY 10956-1108
Phone (845) 354-2380

National Provider Directory

National Provider Directory

Locations

3167 E Tremont Ave
#B
Bronx, NY 10461
Phone (347) 810-9742

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1801171822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PARK AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561108",
            "telephone_number": "845-354-2380",
            "fax_number": "845-354-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 E TREMONT AVE # B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615718",
            "telephone_number": "347-810-9742",
            "fax_number": "347-810-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADYBIRD CLINICAL REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "LADYBIRD",
        "authorized_official_middle_name": "MANANGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-810-9742",
        "authorized_official_credential": "B.S.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "017803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.