Metrotech Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018359 Issued in NY

Legal business name

METROTECH PHYSICAL THERAPY PLLC

Practice address

245 W 104TH St
Apt 7E
New York, NY 10025-4249

Phone

(917) 992-8552

Fax

(718) 795-1629

NPI assigned

Dec 20, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Andrew E Flicker, P.T.

Title

Owner

Phone

(917) 992-8552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1962705525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W 104TH ST",
            "address_2": "APT 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254249",
            "telephone_number": "917-992-8552",
            "fax_number": "718-795-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W 104TH ST",
            "address_2": "APT 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254249",
            "telephone_number": "917-992-8552",
            "fax_number": "718-795-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROTECH PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "FLICKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-992-8552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in New York, NY
• Providers in New York, 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 Dec 21, 2010; 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.