Individual provider Active NPI

Ride Tady

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1033684667
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038522-1 Issued in NY
Practice address
3063 38TH St
Astoria, NY 11103-4172
Phone
(718) 932-1269
NPI assigned
Oct 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 038522-1 NY Primary

Addresses

Primary practice location

3063 38TH St
Astoria, NY 11103-4172

Mailing address

3753 62ND St Apt 1D
Woodside, NY 11377-2649
Phone (929) 339-7978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027001751 NY Practitioner - Physical Therapist in Private Practice 0749690030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4543 21St St
FL 2
Long Island City, NY 11101-5219
Phone (347) 589-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038522NYMDDentist
038522-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy Services PC Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Single Specialty CurrentSince Nov 3, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Nov 3, 2025 Accepting new patients
Body in Balance Physical Therapy ,PC Single Specialty Past Accepting new patients
Body in Balance Physical Therapy, PC Single Specialty Past Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

4543 21st St
Fl 2
Long Island City, NY 11101
Phone (347) 589-8100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1033684667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 62ND ST APT 1D",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772649",
            "telephone_number": "929-339-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 38TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034172",
            "telephone_number": "718-932-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADY",
        "first_name": "RIDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038522-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.