Il Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IL PHYSICAL THERAPY PC

Practice address

15007 Bayside Ave
Flushing, NY 11354-2432

Phone

(929) 316-4827

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Ingu Lee

Title

President

Phone

(929) 316-4827

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marisol Silla Cabacaba

  • Physical Therapist
  • Jamaica, NY
  • NPI 1952101859
  NPD (past)

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1801513866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17163 46TH AVE # 2RR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15007 BAYSIDE AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542432",
            "telephone_number": "929-316-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "INGU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-316-4827"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shehla Iftekhar, LMHC
• Nesochi Igbokwe, M.D., M.S.
• Meira B Ihm, MSSPED
• IHS of New York Inc
• Uchenna Ijeaku
• Marilou V Ilie, PT
• Ilook 3.0 Inc
• Ilya Badalov Physician PC
• Andrey Ilyabayev, DDS
• Raquel Ilyaich

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 Oct 20, 2022; 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.