Organization Active NPI

Leaps and Bounds Physical Therapy and Occupational Therapy PLLC

  • Occupational Therapist
  • Astoria, NY
National Provider Identifier
1871870352
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
010753-1 Issued in NY
Legal business name
LEAPS AND BOUNDS PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC
Practice address
2114 Newtown Ave
Astoria, NY 11102-2935
Phone
(718) 545-0958
NPI assigned
Nov 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Mr. Michael Pfeiffer, MSOTNPI 1144554965
Title
Partner Occupational Therapist
Phone
(718) 545-0958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 022130-1 NY
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 034284-1 NY
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 031395-1 NY
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 010753-1 NY Primary

Addresses

Primary practice location

2114 Newtown Ave
Astoria, NY 11102-2935

Mailing address

2114 Newtown Ave
Astoria, NY 11102-2935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130513000438 NY Part B Supplier - Clinic/Group Practice 3779720628 Receives reassigned benefits from 1 practitioner
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Locations

2114 Newtown Ave
Long Island City, NY 11102
Phone (718) 278-0643

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1871870352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 NEWTOWN AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 NEWTOWN AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022935",
            "telephone_number": "718-545-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS AND BOUNDS PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "718-545-0958",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSOT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022130-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034284-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031395-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010753-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.