Organization Active NPI

Vegas Treatment

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1902139595
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029372 Issued in NY
Legal business name
VEGAS TREATMENT
Practice address
13621 Roosevelt Ave Ste 409
Flushing, NY 11354-5507
Phone
(718) 888-9778
Fax
(718) 799-5360
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Ms. Ivy Tang
Title
General Manager
Phone
(718) 888-9778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 029372 NY Primary

Addresses

Primary practice location

13621 Roosevelt Ave Ste 409
Flushing, NY 11354-5507

Mailing address

13621 Roosevelt Ave Ste 409
Flushing, NY 11354-5507
Phone (718) 888-9778

National Provider Directory

National Provider Directory

Locations

13621 Roosevelt Ave
Ste 409
Flushing, NY 11354
Phone (718) 888-9778

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1902139595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13621 ROOSEVELT AVE STE 409",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545507",
            "telephone_number": "718-888-9778",
            "fax_number": "718-799-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13621 ROOSEVELT AVE STE 409",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545507",
            "telephone_number": "718-888-9778",
            "fax_number": "718-799-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "718-888-9778",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.