St Josephs Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ST JOSEPHS PHYSICAL THERAPY PC

Practice address

1440 Forest Ave Ste 8
Staten Island, NY 10302-2235

Phone

(201) 888-1549

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Joseph Wellen Sedrak, PT

Title

President

Phone

(201) 888-1549

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1891368072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DIAMOND LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 FOREST AVE STE 8",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022235",
            "telephone_number": "201-888-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "SEDRAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-888-1549",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saroj Srivastava
• St Dental
• St George Counseling Services LCSW PLLC
• St George Pharmacy Inc
• St George Pharmacy Inc
• St Kyrollos Physical Therapy PC
• Margaret-Ann Valerie St Louis, RN
• St Marks Dental PC
• St Mary & Pope Kyrillos Corporation
• St Moses Inc.

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, 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 Jul 23, 2021; 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.