I-Om Physical Therapy P.C

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

023922-1 Issued in NY

Legal business name

I-OM PHYSICAL THERAPY P.C

Practice address

111 John St
Suite 1445
New York, NY 10038-3101

Phone

(917) 715-1540

NPI assigned

Jan 9, 2010

Organization subpart

No

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

Authorized official

Name

Mary Buenconsejo

Title

Physical Therapist

Phone

(212) 571-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sing Kit Keith Chan, MPT

  • Physical Therapist
  • New York, NY
  • NPI 1619047313
  NPD (past)
• Tanya Rattray, P.T.

  • Physical Therapist
  • New York, NY
  • NPI 1003203670
  NPD (past)

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1912237264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK ROW",
            "address_2": "15J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382301",
            "telephone_number": "917-658-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JOHN ST",
            "address_2": "SUITE 1445",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383101",
            "telephone_number": "917-715-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-OM PHYSICAL THERAPY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-09",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "BUENCONSEJO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "212-571-4800"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "023922-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "Q12X23",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.