Active NPI
Live Strong Physical Therapy PC
- Physical Therapy Clinic/Center
- Albertson, NY
National Provider Identifier
1902089279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 028019-1
- Legal business name
- LIVE STRONG PHYSICAL THERAPY PC
- Practice address
- 77 Arleigh Dr
Albertson, NY 11507-1207 - Phone
- (917) 596-6925
- NPI assigned
- Dec 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Farbod Barzideh, PT, DPT
- Title
- Physical Therapist
- Phone
- (917) 596-6925
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 028019-1 | NY | Primary |
Addresses
Primary practice location
77 Arleigh Dr
Albertson, NY 11507-1207
Mailing address
77 Arleigh Dr
Albertson, NY 11507-1207
Phone (917) 596-6925
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197244800000",
"number": "1902089279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 ARLEIGH DR",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071207",
"telephone_number": "917-596-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 ARLEIGH DR",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071207",
"telephone_number": "917-596-6925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE STRONG PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A",
"authorized_official_last_name": "BARZIDEH",
"authorized_official_first_name": "FARBOD",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "917-596-6925",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "028019-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albertson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.