NPIMap

Organization Active NPI

South Shore Advanced Physical Therapy PC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1922307198
Registry record updated Apr 29, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016967-1 Issued in NY
Legal business name
SOUTH SHORE ADVANCED PHYSICAL THERAPY PC
Practice address
456 Arlene St
Staten Island, NY 10314-3814
Phone
(718) 494-0675
Fax
(718) 948-0772
NPI assigned
Mar 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Mr. Nemesio C Felix Jr., PT
Title
Owner/Physical Therapist
Phone
(718) 227-0198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 016967-1 NY Primary

Addresses

Primary practice location

456 Arlene St
Staten Island, NY 10314-3814

Mailing address

PO Box 140146
Staten Island, NY 10314-0146
Phone (718) 227-0198

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1922307198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140146",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103140146",
            "telephone_number": "718-227-0198",
            "fax_number": "718-948-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 ARLENE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143814",
            "telephone_number": "718-494-0675",
            "fax_number": "718-948-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE ADVANCED PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-27",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "NEMESIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-227-0198",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016967-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.