South Shore Si Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

016967-1 Issued in NY

Legal business name

SOUTH SHORE SI PHYSICAL THERAPY PC

Practice address

4870 Hylan Blvd
Staten Island, NY 10312-6322

Phone

(718) 356-1337

NPI assigned

Jul 22, 2008

Last updated

Apr 1, 2009By 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

Arthur Lizaso, PTNPI 1821297417

Title

Owner/Physical Therapist

Phone

(718) 227-0198

Specialties & licenses 1

Addresses

Tax ID family

South Shore S I Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Shore S I Physical Therapy PC

  • Physical Therapist
  • Staten Island, NY
  • NPI 1033318621
  NPD tax ID

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.

• Arthur Lizaso, PHYSICAL THERAPIST

  • Physical Therapist
  • Staten Island, NY
  • NPI 1821297417
  NPD (past) Authorized official

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1811152671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126322",
            "telephone_number": "718-356-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126322",
            "telephone_number": "718-356-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE SI PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "LIZASO",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-227-0198",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "016967-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Shore Advanced Physical Therapy PC
• South Shore Chiropractic PC
• South Shore Chiropractic, PLLC
• South Shore Physicians, P.C.
• South Shore S I Physical Therapy PC
• Samantha Taylor Southard, LMHC
• Southshore Pharmacy Corp.
• Jamie Souza-Page, OTR/L
• Sovereign Transportation Inc. (Patriot Transportation)
• Diado Sow

• Physical Therapy Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.