NPIMap

Organization Active NPI

Axiom PT & OT Plus PLLC

  • Orthotist
  • Tuckahoe, NY
National Provider Identifier
1932484508
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Legal business name
AXIOM PT & OT PLUS PLLC
Practice address
115 Main St
Suite: # 202
Tuckahoe, NY 10707-2911
Phone
(914) 961-1010
Fax
(914) 961-1011
NPI assigned
Oct 14, 2011
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
David Alben
Title
Practice Administrator
Phone
(914) 961-1010

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NY Primary
Prosthetist 224P00000X NY
Orthotic Fitter 225000000X NY
Pedorthist 224L00000X NY

Addresses

Primary practice location

115 Main St
Suite: # 202
Tuckahoe, NY 10707-2911

Mailing address

115 Main St
Suite: # 202
Tuckahoe, NY 10707-2911
Phone (914) 961-1010

Other identifiers 1

IdentifierTypeStateIssuer
03282455MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Axiom PT OT Pluspllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1932484508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "address_2": "SUITE: # 202",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072911",
            "telephone_number": "914-961-1010",
            "fax_number": "914-961-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "address_2": "SUITE: # 202",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072911",
            "telephone_number": "914-961-1010",
            "fax_number": "914-961-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM PT & OT PLUS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "ALBEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "914-961-1010"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03282455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.