Active NPI
Manjoorsa Physical Therapy P.C.
- Physical Therapy Clinic/Center
- Elmhurst, NY
National Provider Identifier
1962799361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 027648
- Legal business name
- MANJOORSA PHYSICAL THERAPY P.C.
- Practice address
- 8411 Queens Blvd
Elmhurst, NY 11373-3098 - Phone
- (347) 968-8304
- NPI assigned
- Jul 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Al Manjoorsa
- Title
- Physical Therapist/ Director
- Phone
- (347) 968-8304
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 027648 | NY | Primary |
Addresses
Primary practice location
8411 Queens Blvd
Elmhurst, NY 11373-3098
Mailing address
8411 Queens Blvd
Elmhurst, NY 11373-3098
Phone (347) 968-8304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14232 38TH Ave 2a
2A
Flushing, NY 11354
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Elmhurst, NY
- NPI 1851510630
-
- Physical Therapist
- Elmhurst, NY
- NPI 1487479473
-
- Pediatric Occupational Therapist
- Flushing, NY
- NPI 1033363114
-
- Physical Therapist
- New York, NY
- NPI 1598650269
-
- Physical Therapist
- Brooklyn, NY
- NPI 1043103757
-
- Physical Therapist
- Astoria, NY
- NPI 1508021205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579219200000",
"number": "1962799361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8411 QUEENS BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733098",
"telephone_number": "347-968-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8411 QUEENS BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733098",
"telephone_number": "347-968-8304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANJOORSA PHYSICAL THERAPY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-06",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A",
"authorized_official_last_name": "MANJOORSA",
"authorized_official_first_name": "AL",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/ DIRECTOR",
"authorized_official_telephone_number": "347-968-8304"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "027648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.