Prudent PT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

023869 Issued in NY

Legal business name

PRUDENT PT PC

Practice address

209 Beach 125TH St # 402
Rockaway Park, NY 11694-1703

Phone

(718) 945-6600

NPI assigned

Aug 3, 2010

Last updated

Dec 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Dempsey, P.T.

Title

President

Phone

(212) 535-2164

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1922312859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WOOD ST",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105363308",
            "telephone_number": "212-535-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BEACH 125TH ST # 402",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941703",
            "telephone_number": "718-945-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 E 64th St",
            "address_2": "Suite 5G",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100657581",
            "country_code": "US",
            "telephone_number": "917-915-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRUDENT PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-535-2164",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "023869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Rockaway Park, NY
• Providers in Rockaway Park, 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 Dec 2, 2019; 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.