Professional Orthopedic and Sports Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC

Practice address

2142 Utopia Pkwy
Whitestone, NY 11357-4142

Phone

(718) 767-0610

Fax

(718) 767-1470

NPI assigned

Oct 24, 2005

Last updated

Mar 29, 2018By 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

Mrs. Helen Agrelo

Title

SVP of Administrative Operations

Phone

(516) 321-2424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Robin Reiter, DPT, ATC

  • Physical Therapist
  • New York, NY
  • NPI 1134175573

  I20050225000540

  Same enrollment

Tax ID family

Professional Occ and Phys Therapy CT2 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.

• Reiter Rehabilitation PT PC

  • Orthopedic Physical Therapist
  • New York, NY
  • NPI 1174867865
  NPD tax ID

Locations

Practitioners 13

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.

• Robin Reiter, DPT, ATC

  • Physical Therapist
  • New York, NY
  • NPI 1134175573
  NPD
• David Allayev

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1225953219
  NPD (past)
• Malik Campbell

  • Physical Therapist
  • Fleetwood, NY
  • NPI 1346015708
  NPD (past)
• Adam Discepolo, DPT

  • Physical Therapist
  • Mamaroneck, NY
  • NPI 1639301591
  NPD (past)
• Samantha Gerbasio

  • Physical Therapist
  • Bellmore, NY
  • NPI 1215862610
  NPD (past)
• Richard Victor Lenz, DPT

  • Physical Therapist
  • Whitestone, NY
  • NPI 1043544828
  NPD (past)
• James Michael Macaluso, PT MA OCS

  • Physical Therapist
  • New Hyde Park, NY
  • NPI 1588762843
  NPD (past)
• John Nulty

  • Physical Therapist
  • Merrick, NY
  • NPI 1235508987
  NPD (past)
• Anne Catherine Patti

  • Physical Therapist
  • Fleetwood, NY
  • NPI 1699389239
  NPD (past)
• Glen W Rowell, PT MA OCS

  • Physical Therapist
  • Williston Park, NY
  • NPI 1962446864
  NPD (past)
• Rania Saleb

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1831046754
  NPD (past)
• Alan Morden, M.D.

  • Emergency Medicine Physician
  • Eureka, CA
  • NPI 1306809645
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1962492850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 UTOPIA PKWY",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113574142",
            "telephone_number": "718-767-0610",
            "fax_number": "718-767-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "AGRELO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "SVP OF ADMINISTRATIVE OPERATIONS",
        "authorized_official_telephone_number": "516-321-2424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Preudhomme
• Emily R Price
• Prime Physical Therapy
• Pro-Tek Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• PRZ RX Corp (Healing Pharmacy)
• Quartet Behavioral Spectrum Services
• Antoinette Quatela
• Queens Audiology, PLLC
• Queens Center for Rehabilitation Residential Healthcare

• Physical Therapist in Whitestone, NY
• Providers in Whitestone, 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 Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.