Pain Rehab Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PAIN REHAB PHYSICAL THERAPY LLC

Practice address

4 Consulate Dr Apt 1D
Tuckahoe, NY 10707-2402

Phone

(914) 202-7022

NPI assigned

Sep 11, 2023

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bobby GeevarugheseNPI 1205519543

Title

Owner

Phone

(914) 202-7022

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Bobby Geevarughese, DPT

  • Physical Therapist
  • Scarsdale, NY
  • NPI 1205519543
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1003693326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CONSULATE DR APT 1D",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072402",
            "telephone_number": "914-202-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CONSULATE DR APT 1D",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072402",
            "telephone_number": "914-202-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN REHAB PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "GEEVARUGHESE",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-202-7022"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O & P Plus
• Marianne O'Shea, DMD
• Lillian Oliva-Rasulo
• Marco Antonio Oshiro, DDS
• Pain Care and Regenerative Solutions LLC
• Parkway Medical Associate PLLC
• Julia Paternoster, DDS
• Angeli Pemberton, LMHC
• Frank P Petronella, DDS
• Planet Smile Partners Main Street Dentistry PLLC (Ortho on Main)

• Physical Therapy Clinic/Center in Tuckahoe, NY
• Providers in Tuckahoe, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.