Pioneer Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PIONEER PHYSICAL THERAPY, P.C.

Practice address

15714 20TH Rd
Whitestone, NY 11357-3855

Phone

(646) 867-9686

NPI assigned

May 4, 2019

Organization subpart

No

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

Authorized official

Name

Mingshang Yu, PTNPI 1043605603

Title

President

Phone

(646) 867-9686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Mingshang Yu

  • Physical Therapist
  • Whitestone, NY
  • NPI 1043605603
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1811552995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 12TH AVE APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15714 20TH RD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573855",
            "telephone_number": "646-867-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6622 12th Ave Apt 2R",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112195910",
            "country_code": "US",
            "telephone_number": "646-867-9686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 58th St Bsmt",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112194419",
            "country_code": "US",
            "telephone_number": "646-867-9686",
            "fax_number": "347-557-8397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4318 147th St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113551733",
            "country_code": "US",
            "telephone_number": "646-867-9686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIONEER PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-04",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "MINGSHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-867-9686",
        "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": []
}

• Pharmapacks LLC
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• Speedo J Pietri
• Cosette Pimentel
• Anita Pinto
• Ambrose Pipia, M.D.,
• Carissa Pirotta
• Cyril Pishoy-Gabriel
• Esther N Pogrow
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• Physical Therapist in Whitestone, NY
• Providers in Whitestone, 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 Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.