Physi-Care PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025850 Issued in NY

Legal business name

PHYSI-CARE PT PC

Practice address

11 Byrd CT
Kings Park, NY 11754-4511

Phone

(718) 316-7296

Fax

(631) 663-3820

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Miss Richelle Timtiman Cabanilla, PT

Title

President

Phone

(718) 316-7296

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1952700387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BYRD CT",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544511",
            "telephone_number": "718-316-7296",
            "fax_number": "631-663-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BYRD CT",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544511",
            "telephone_number": "718-316-7296",
            "fax_number": "631-663-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSI-CARE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "CABANILLA",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_middle_name": "TIMTIMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-316-7296",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Kings Park, NY
• Providers in Kings Park, 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 Jun 19, 2025; 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.