Seguia & Eleazar Physical Therapy PLLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

SEGUIA & ELEAZAR PHYSICAL THERAPY PLLC

Practice address

403 E 91St St FL 4
New York, NY 10128-6800

Phone

(646) 926-3481

Fax

(646) 390-2593

NPI assigned

Jul 25, 2019

Organization subpart

No

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

Authorized official

Name

Rena Eleazar, PT, DPTNPI 1083002216

Title

Owner

Phone

(646) 926-3481

Specialties & licenses 1

Addresses

Other names 1

• Match Fit Performance Doing business as

Locations

Practitioners 1

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

• Rena Eleazar, PT, DPT, CSCS

  • Physical Therapist
  • Astoria, NY
  • NPI 1083002216
  NPD (past) Authorized official

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1821642109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 STEINWAY ST # 1A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051579",
            "telephone_number": "646-926-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 91ST ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286800",
            "telephone_number": "646-926-3481",
            "fax_number": "646-390-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGUIA & ELEAZAR PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "ELEAZAR",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-926-3481",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Match Fit Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Segmdpc
• Maria Segovia Arce
• Alexis Segre
• Jade Segre, LMSW
• Jamie Segrich, MS, CCC-SLP
• Michelle Leeann Seguin, MD
• Jose Mauricio Segundo Correia Mota, MD, PHD
• Evelyn E. Segura-Malady
• Alberto Domingo Segura, M.D.
• Pamela Lantigua Segura, CASAC-T

• Sports Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Sports Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.