Sportslabnyc, LLC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Legal business name

SPORTSLABNYC, LLC

Practice address

15 West 39TH Street
Floor 4
New York, NY 10018

Phone

(212) 764-0270

Fax

(212) 764-0275

NPI assigned

Mar 27, 2012

Organization subpart

Yes

Parent organization

SPORTSLABNYC LLCAs reported in NPPES

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

Authorized official

Name

Mr. Nazeer Ali

Title

Ceo

Phone

(212) 764-0270

Specialties & licenses 1

Addresses

Part of

Sportslabnyc LLC

Locations

Practitioners 1

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

• Kimberly Jolly, PT

  • Physical Therapist
  • New York, NY
  • NPI 1982941019
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1871869610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WEST 39TH STREET",
            "address_2": "FLOOR 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-764-0270",
            "fax_number": "212-764-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WEST 39TH STREET",
            "address_2": "FLOOR 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-764-0270",
            "fax_number": "212-764-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSLABNYC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTSLABNYC LLC",
        "enumeration_date": "2012-03-27",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "NAZEER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-764-0270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic
• Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic
• Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
• Sports Rehab Nyc Corp
• Henry M Spotnitz, M.D.
• Michelle Diane Spotnitz, MD
• Spots
• Spots
• Spots

• Physical Therapy Assistant in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.