Acosta Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

028426-1 Issued in NY

Legal business name

ACOSTA PHYSICAL THERAPY PC

Practice address

6134 188TH St
Suite 208
Fresh Meadows, NY 11365-2719

Phone

(718) 264-1979

Fax

(718) 254-3020

NPI assigned

Jan 7, 2013

Last updated

Sep 5, 2014By 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

Alvaro A Acosta, DPTNPI 1932232907

Title

President

Phone

(516) 312-0082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alvaro Acosta, PT

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1932232907
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1922345271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219-32 64TH AVENUE",
            "address_2": "3RD FLOOR",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "11364",
            "telephone_number": "516-312-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 188TH ST",
            "address_2": "SUITE 208",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652719",
            "telephone_number": "718-264-1979",
            "fax_number": "718-254-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACOSTA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-312-0082",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "028426-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Abramovitz, PH.D.,CCC-A
• Avram L. Abramowitz, M.D.
• Thalia Abreu
• Sundus Abudayyeh, D.D.S.
• Santa Magdalena Abuzid
• Alvaro Acosta, PT
• Elena I Acosta, R.N
• Frantzie Emmanuelle Adam
• Mina Fawzy Adams, MD.
• Chaya Shira Adler

• Physical Therapy Clinic/Center in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.