Family Physical Therapy & Rehabilitation P.C

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

62036044 Issued in NY

Legal business name

FAMILY PHYSICAL THERAPY & REHABILITATION P.C

Practice address

14350 Hoover Ave
420
Briarwood, NY 11435-2121

Phone

(347) 725-7054

NPI assigned

Dec 27, 2016

Organization subpart

No

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

Authorized official

Name

Fady Farag, PT

Title

Manager

Phone

(347) 725-7054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1063957215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 HOOVER AVE",
            "address_2": "420",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352121",
            "telephone_number": "347-725-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 HOOVER AVE",
            "address_2": "420",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352121",
            "telephone_number": "347-725-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICAL THERAPY & REHABILITATION P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "FARAG",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-725-7054",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "62036044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Ehrbar, OTR/L
• Epstein Tavroff Leon DPMS LLP
• Geoffrey C. Epstein, D.P.M.
• Geovanna Paola Erazo Villegas, PA
• Family Medical Supply
• Nafisa Fidvi
• FP Halpern DPM PC
• Naomi Charlotte Frumess, FNP
• Diana Gadayeva
• Lauren Giacopino, LMT

• Physical Therapy Clinic/Center in Briarwood, NY
• Providers in Briarwood, 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 Dec 27, 2016; 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.