Full Circle Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025535-1 Issued in NY

Legal business name

FULL CIRCLE PHYSICAL THERAPY PC

Practice address

397 Willis Ave
Williston Park, NY 11596-2208

Phone

(516) 739-5503

Fax

(516) 739-5565

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Diana Tjaden, DPT, ATC

Title

Owner/Director

Phone

(516) 739-5503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1902181266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WILLIS AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962208",
            "telephone_number": "516-739-5503",
            "fax_number": "516-739-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WILLIS AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962208",
            "telephone_number": "516-739-5503",
            "fax_number": "516-739-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "TJADEN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "516-739-5503",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025535-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Finn, MS
• Linda Flanagan
• Elizabeth Kathryn Foehr, MA, CCC-SLP, TSHH
• Emily Foley
• Yolanda D. Frucci
• Mindy Garfinkel, O.T.R./L.
• John Henry Geager, D.D.S.
• Genesis Rehab Physical Therapy PC
• Carolyn M. Genna, AUD, FAAA
• Genovese Drug Stores Inc (Rite Aid Pharmacy 10621)

• Physical Therapist in Williston Park, NY
• Providers in Williston Park, 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 Oct 19, 2011; 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.