Superior Physical Therapy Services, PC

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

015452 Issued in NY

Legal business name

SUPERIOR PHYSICAL THERAPY SERVICES, PC

Practice address

13 Duke Dr
Manhasset Hills, NY 11040-1207

Phone

(917) 747-1771

Fax

(516) 869-1155

NPI assigned

Mar 16, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Bozena Pisla Khalil, DPT

Title

President/ Physical Therapist

Phone

(917) 747-1771

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1811296809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DUKE DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401207",
            "telephone_number": "917-747-1771",
            "fax_number": "516-869-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 DUKE DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401207",
            "telephone_number": "917-747-1771",
            "fax_number": "516-869-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHYSICAL THERAPY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "PISLA KHALIL",
        "authorized_official_first_name": "BOZENA",
        "authorized_official_title_or_position": "PRESIDENT/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-747-1771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "015452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Physical Therapist in Manhasset Hills, NY
• Providers in Manhasset Hills, NY by specialty
• Geriatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.