High Point Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00520400 Issued in NJ

Legal business name

HIGH POINT PHYSICAL THERAPY P.C.

Practice address

1781 Jerome Ave
Bronx, NY 10453-5711

Phone

(917) 473-6727

Fax

(917) 473-6728

NPI assigned

Jun 3, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Edilberto Orcullo Estomo Jr., PT

Title

Owner

Phone

(201) 951-7534

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1902255680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIVER RD",
            "address_2": "SUITE 32-253",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201171",
            "telephone_number": "201-951-7534",
            "fax_number": "201-758-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535711",
            "telephone_number": "917-473-6727",
            "fax_number": "917-473-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH POINT PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "ESTOMO",
        "authorized_official_first_name": "EDILBERTO",
        "authorized_official_middle_name": "ORCULLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-951-7534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00520400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shaquita Highsmith
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• Physical Therapy Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.