Advanced Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

013057 Issued in NY

Legal business name

ADVANCED PHYSICAL THERAPY

Practice address

6642 Forest Ave
Ridgewood, NY 11385-3153

Phone

(718) 821-4216

Fax

(718) 821-4253

NPI assigned

Oct 17, 2006

Last updated

Jun 16, 2008By 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. Efstratios Antoniadis, PT

Title

Owner

Phone

(718) 821-4216

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Efstartios Antoniadis, PT

  • Physical Therapist
  • Ridgewood, NY
  • NPI 1871507707
  NPD (past)
• Marie Frances Antoniadis, PT

  • Physical Therapist
  • Ridgewood, NY
  • NPI 1417961004
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1932289550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 FOREST AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853153",
            "telephone_number": "718-821-4216",
            "fax_number": "718-821-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6642 FOREST AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853153",
            "telephone_number": "718-821-4216",
            "fax_number": "718-821-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ANTONIADIS",
        "authorized_official_first_name": "EFSTRATIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-821-4216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "013057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rozalina Abramov
• Abul Shahidullah, M. D., Medical Office
• Accu-Care Physical Therapy Works, P.C.
• Maribel Acevedo
• Lilibeth Acosta
• Ag PT Wellness PLLC
• Joseph Aglialoro, M.A.
• Karen Marie Aglietti, DPM
• Vivian Aiuto, DDS
• Ajs Ridgewood Chemist Inc.

• Physical Medicine & Rehabilitation Physician in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.