Organization Active NPI

Physiocare Physical Therapy

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1891238135
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037321-1 Issued in NY
Legal business name
PHYSIOCARE PHYSICAL THERAPY
Practice address
3244 31St St
Astoria, NY 11106-2561
Phone
(718) 707-6970
Fax
(718) 707-6977
NPI assigned
Nov 18, 2016
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Mr. Kerlos Abdalmotagaly, PT
Title
Phyiscal Therapy
Phone
(718) 707-6970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037321-1 NY Primary

Addresses

Primary practice location

3244 31St St
Astoria, NY 11106-2561

Mailing address

3244 31St St
Astoria, NY 11106-2561
Phone (718) 707-6970

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1891238135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062561",
            "telephone_number": "718-707-6970",
            "fax_number": "718-707-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062561",
            "telephone_number": "718-707-6970",
            "fax_number": "718-707-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOCARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "ABDALMOTAGALY",
        "authorized_official_first_name": "KERLOS",
        "authorized_official_title_or_position": "PHYISCAL THERAPY",
        "authorized_official_telephone_number": "718-707-6970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037321-1",
            "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 Nov 18, 2016; 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.