Organization Active NPI

Physio-Rehab, P.C.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1033240106
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012335 Issued in NY
Legal business name
PHYSIO-REHAB, P.C.
Practice address
17 Elizabeth St Ste 303
New York, NY 10013-4803
Phone
(212) 625-2528
Fax
(212) 937-2015
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Mr. Patrick See-Yim Chang, P.T.NPI 1417082330
Title
President
Phone
(212) 625-2528

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 Therapist 225100000X 012335 NY Primary

Addresses

Primary practice location

17 Elizabeth St Ste 303
New York, NY 10013-4803

Mailing address

17 Elizabeth St Ste 303
New York, NY 10013-4803
Phone (212) 625-2528

Other identifiers 1

IdentifierTypeStateIssuer
01584770MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091218000053 NY Part B Supplier - Clinic/Group Practice 8527108760 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

13 Elizabeth St
Ste 303
New York, NY 10013

17 Elizabeth St
Ste 303
New York, NY 10013
Phone (212) 625-2528

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1033240106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ELIZABETH ST STE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-625-2528",
            "fax_number": "212-937-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ELIZABETH ST STE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-625-2528",
            "fax_number": "212-937-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO-REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "SEE-YIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-625-2528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01584770",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2023; 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.