TARGET PHYSICAL THERAPY PC (NPI# 1215550363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215550363 |
| Entity Type | Organization |
| Organization Name | TARGET PHYSICAL THERAPY PC |
| Practice Address |
483 Ingram Ave Staten Island NY 10314-4414 |
| Practice Telephone | 7182383892 |
| Enumeration Date | 2020-05-24 |
| Last Update Date | 2020-05-24 |
| Authorized Official Name | MONA TOLBA (PRESIDENT) |
| Authorized Official Telephone | 3476517308 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
483 INGRAM AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892421 | Total Cure Pt PC | Clinic/Center | 620 Bloomingdale Rd, Staten Island, NY 10309-2028 | 2020-08-23 |
| 1205337300 | Ryan Dinneny | Clinic/Center | 19 Emmet Ave, Staten Island, NY 10306-2719 | 2018-02-23 |
| 1730699448 | Therapy Masters, LLC | Clinic/Center | 1434 Forest Hill Rd, Staten Island, NY 10314-6318 | 2017-10-08 |
| 1205358025 | Big City Physical Therapy, Pllc | Clinic/Center | 3202 Morley Ave, Staten Island, NY 10306-1906 | 2017-07-13 |
| 1821474263 | M.e.p.t. Physical Therapy, P.C. | Clinic/Center | 322 Lathrop Ave, Staten Island, NY 10302-2532 | 2015-08-07 |
| 1689051260 | Precious Movements Physical Therapy, P.C. | Clinic/Center | 1592 Richmond Ave, Staten Island, NY 10314-1529 | 2015-05-02 |
| 1710011465 | Lugo Comprehensive Pt Services | Clinic/Center | 515 Neckar Ave, Staten Island, NY 10304-4511 | 2007-03-15 |
| 1528179306 | Richard P Orsini | Clinic/Center | 104 Amaron Ln, Staten Island, NY 10307-1963 | 2006-08-31 |
| 1255442034 | Larry Codner | Clinic/Center | 116 Hampton Grn, Staten Island, NY 10312-1739 | 2006-08-31 |
| 1336257732 | Richmond Physical Therapy Rehabilitation PC | Clinic/Center | 70 New Dorp Plz S, Staten Island, NY 10306-2920 | 2006-08-26 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on TARGET PHYSICAL THERAPY PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.