Bright S.I. Physical Therapy P.C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014113 Issued in NY

Legal business name

BRIGHT S.I. PHYSICAL THERAPY P.C

Practice address

2052 Richmond Rd
Staten Island, NY 10306-2583

Phone

(718) 351-2160

Fax

(718) 667-7279

NPI assigned

Apr 17, 2015

Organization subpart

No

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

Authorized official

Name

Magdy Mohammed Elmadboly, PHYSICAL THERAPIST

Title

Director

Phone

(718) 351-2160

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1922495910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062583",
            "telephone_number": "718-351-2160",
            "fax_number": "718-667-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062583",
            "telephone_number": "718-351-2160",
            "fax_number": "718-667-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT S.I. PHYSICAL THERAPY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "ELMADBOLY",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-351-2160",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.