Organization Active NPI

NBC Health Physical Therapy P.C.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
National Provider Identifier
1952885980
Registry record updated Sep 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NBC HEALTH PHYSICAL THERAPY P.C.
Practice address
13668 Roosevelt Ave RM 802
Flushing, NY 11354-5510
Phone
(718) 886-6850
Fax
(718) 886-6037
NPI assigned
Sep 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2018

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

Authorized official

Name
Nathaniel Brex Roa Cayetuna, DPT
Title
Physical Therapist
Phone
(646) 714-1392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

13668 Roosevelt Ave RM 802
Flushing, NY 11354-5510

Mailing address

13668 Roosevelt Ave RM 802
Flushing, NY 11354-5510
Phone (718) 886-6850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536969600000",
    "number": "1952885980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE RM 802",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "718-886-6850",
            "fax_number": "718-886-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE RM 802",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "718-886-6850",
            "fax_number": "718-886-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NBC HEALTH PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-15",
        "last_updated": "2018-09-15",
        "status": "A",
        "authorized_official_last_name": "CAYETUNA",
        "authorized_official_first_name": "NATHANIEL BREX",
        "authorized_official_middle_name": "ROA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-714-1392",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; 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.