Glysdi Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62019943 Issued in NY

Legal business name

GLYSDI PHYSICAL THERAPY PC

Practice address

8635 Queens Blvd Ste 1B
Elmhurst, NY 11373-4408

Phone

(718) 533-8588

Fax

(718) 533-1249

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Marycris Romarate, PT

Title

Physical Therapist

Phone

(718) 533-8588

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1891096830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD STE 1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734408",
            "telephone_number": "718-533-8588",
            "fax_number": "718-533-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD STE 1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734408",
            "telephone_number": "718-533-8588",
            "fax_number": "718-533-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYSDI PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "ROMARATE",
        "authorized_official_first_name": "MARYCRIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-533-8588",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62019943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, 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 Nov 8, 2010; 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.