Edward Brooks Farrell, MS PT OCS CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0152621 Issued in NY

Practice address

60 East Jericho Tpke
Physical Solutions
Mineola, NY 11501

Phone

(516) 746-6350

Fax

(516) 746-6696

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Solutions LLPGroup PAC ID 7214828789, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Solutions LLP

  • Physical Therapist
  • Mineola, NY
  • NPI 1235215989
  Medicare reassignment Care Compare group NPD Authorized official
• Bienetre Medical PC

  dba Zaya Care

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033295795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EAST JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-746-6350",
            "fax_number": "516-746-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAST JERICHO TPKE",
            "address_2": "PHYSICAL SOLUTIONS",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-746-6350",
            "fax_number": "516-746-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "EDWARD",
        "middle_name": "BROOKS",
        "name_prefix": "Mr.",
        "credential": "MS PT OCS CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0152621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazifa Faiz
• Family and Children's Association - Family First
• Family Autism Center Inc
• Family Dermatology, PLLC
• Ariella Farahmandpour
• Syeda Ghalia Fatima, MD
• Scott Addison Fauvell, DDS
• Steven Scott Faux, ATC
• Joshua Fedorko
• Frederick Fein, MD

• Physical Therapist in Mineola, NY
• Providers in Mineola, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.