Active NPI
Sycamore Physical Therapy PLLC
- Physical Therapist
- Bronx, NY
National Provider Identifier
1972843449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021983
- Legal business name
- SYCAMORE PHYSICAL THERAPY PLLC
- Practice address
- 3050 Corlear Ave
Suite 102a
Bronx, NY 10463-5180 - Phone
- (718) 708-6853
- Fax
- (718) 708-6855
- NPI assigned
- Feb 21, 2013
- 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
- Mr. Philip Serras
- Title
- Clinical Director
- Phone
- (718) 708-6853
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021983 | NY | Primary |
| Physical Therapist | 225100000X | 022885 | NY |
Addresses
Primary practice location
3050 Corlear Ave
Suite 102a
Bronx, NY 10463-5180
Mailing address
3050 Corlear Ave
Suite 102a
Bronx, NY 10463-5180
Phone (718) 708-6853
National Provider Directory
National Provider DirectoryLocations
3050 Corlear Ave
Ste 102A
Bronx, NY 10463
Phone (718) 708-6853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375920000000",
"number": "1972843449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 CORLEAR AVE",
"address_2": "SUITE 102A",
"city": "BRONX",
"state": "NY",
"postal_code": "104635180",
"telephone_number": "718-708-6853",
"fax_number": "718-708-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 CORLEAR AVE",
"address_2": "SUITE 102A",
"city": "BRONX",
"state": "NY",
"postal_code": "104635180",
"telephone_number": "718-708-6853",
"fax_number": "718-708-6855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYCAMORE PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-21",
"last_updated": "2013-08-08",
"status": "A",
"authorized_official_last_name": "SERRAS",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "718-708-6853",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "021983",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "022885",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.