NPIMap

Organization Active NPI

Tedof3W Physical Therapy

  • Physical Therapist
  • New York, NY
National Provider Identifier
1992230882
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0287971 Issued in NY
Legal business name
TEDOF3W PHYSICAL THERAPY
Practice address
424 W 110TH St
Apt 15a
New York, NY 10025-2408
Phone
(917) 774-9997
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Mr. Daniel Roth, PTNPI 1497083307
Title
President
Phone
(917) 774-9997

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 0287971 NY Primary

Addresses

Primary practice location

424 W 110TH St
Apt 15a
New York, NY 10025-2408

Mailing address

424 W 110TH St
Apt 15a
New York, NY 10025-2408
Phone (917) 774-9997

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1992230882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W 110TH ST",
            "address_2": "APT 15A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252408",
            "telephone_number": "917-774-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W 110TH ST",
            "address_2": "APT 15A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252408",
            "telephone_number": "917-774-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEDOF3W PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-774-9997",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0287971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.