Rena Eleazar, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038342 Issued in NY

Practice address

2335 Steinway St
1A
Astoria, NY 11105-1579

Phone

(646) 470-5639

Fax

(347) 642-4161

NPI assigned

Dec 22, 2014

Last updated

Aug 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Seguia & Eleazar Physical Therapy PLLC

  dba Match Fit Performance

  • Sports Physical Therapist
  • New York, NY
  • NPI 1821642109
  NPD (past) Authorized official

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1083002216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 STEINWAY ST",
            "address_2": "1A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051579",
            "telephone_number": "646-470-5639",
            "fax_number": "347-642-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 STEINWAY ST",
            "address_2": "1A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051579",
            "telephone_number": "646-470-5639",
            "fax_number": "347-642-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEAZAR",
        "first_name": "RENA",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeyad Elamrousy, DPT
• Mahy Elaskandrany, PHARMD
• Khaled Omar Elbanna, MD
• Shahera Mohammed Eldeken I, A
• Eleanor D Yarisse
• Eleftherios S. Gavriil, DDS PC (East River Oral and Maxillofacial Surgery)
• Elite Medical & Rehab Services PC
• Mohamed Abdalla Elkaffas
• Elsa P Cruz MD PC
• Abeir Elsagheir

• Physical Therapist in Astoria, NY
• Providers in Astoria, 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 Aug 24, 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.