NPIMap

Organization Active NPI

J. Lamendola Physical Therapy, P.C.

Doing business as TLC Physical Therapy

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1982004958
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02025341 Issued in NY
Legal business name
J. LAMENDOLA PHYSICAL THERAPY, P.C.
Doing business as
TLC Physical Therapy
Practice address
1100 Clove Rd
Suite GC
Staten Island, NY 10301-3648
Phone
(718) 816-6500
Fax
(718) 816-4677
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Mr. Jason Paul Lamendola, P.T.NPI 1619942000
Title
Physical Therapist
Phone
(718) 816-6500

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 02025341 NY Primary

Addresses

Primary practice location

1100 Clove Rd
Suite GC
Staten Island, NY 10301-3648

Mailing address

1100 Clove Rd
Suite GC
Staten Island, NY 10301-3648
Phone (718) 816-6500

Other names 1

  • TLC Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180620002172 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800141565 Receives reassigned benefits from 15 practitioners
Practice locations: Staten Island, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

236 Richmond Valley Rd
Ste 16
Staten Island, NY 10309

1297 Clove Rd
Staten Island, NY 10301
Phone 71881665004003

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1982004958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLOVE RD",
            "address_2": "SUITE GC",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013648",
            "telephone_number": "718-816-6500",
            "fax_number": "718-816-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLOVE RD",
            "address_2": "SUITE GC",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013648",
            "telephone_number": "718-816-6500",
            "fax_number": "718-816-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. LAMENDOLA PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "LAMENDOLA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-816-6500",
        "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": "02025341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TLC Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.