Organization Active NPI

Live Strong Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Albertson, NY
National Provider Identifier
1902089279
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
028019-1 Issued in NY
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

Updated by the provider on Dec 10, 2007

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.