NPI Code Detail JSON Logo

1588949747 NPI number — LEGEND REHABILITATION-ACUPUNCTURE & PHYSICAL THERAPY PC

NPI Number: 1588949747
Health Care Provider/Practitioner: LEGEND REHABILITATION-ACUPUNCTURE & PHYSICAL THERAPY PC

Information about “1588949747” NPI (LEGEND REHABILITATION-ACUPUNCTURE & PHYSICAL THERAPY PC) exists in 1588949747 in HTML format HTML  |  1588949747 in plain Text format TXT  |  1588949747 in PDF (Portable Document Format) PDF  |  1588949747 in an XML format XML  formats.

NPI Number : 1588949747 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588949747",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LEGEND REHABILITATION-ACUPUNCTURE & PHYSICAL THERAPY PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1481 RICHMOND RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STATEN ISLAND",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10304-2309",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-980-9888",
    "MailingAddressFaxNumber": "718-980-1403",
    "FirstLinePracticeLocationAddress": "1481 RICHMOND RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STATEN ISLAND",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10304-2309",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-980-9888",
    "PracticeLocationAddressFaxNumber": "718-980-1403",
    "EnumerationDate": "10/19/2011",
    "LastUpdateDate": "10/19/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KU",
    "AuthorizedOfficialFirstName": "LAP",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PT   L.AC",
    "AuthorizedOfficialTelephoneNumber": "718-980-9888",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "320700000X",
          "TaxonomyName": "Physical Disabilities Residential Treatment Facility",
          "LicenseNumber": "001272-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320700000X",
          "TaxonomyName": "Physical Disabilities Residential Treatment Facility",
          "LicenseNumber": "14071",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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