Organization Active NPI

Go Physio PT PC

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1083228720
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GO PHYSIO PT PC
Practice address
8105 Queens Blvd Unit S2
Elmhurst, NY 11373-3750
Phone
(646) 331-7816
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Khaled Afify, PT, MSNPI 1679631154
Title
President
Phone
(646) 331-7186

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

8105 Queens Blvd Unit S2
Elmhurst, NY 11373-3750

Mailing address

393 Stobe Ave
Staten Island, NY 10306-5235
Phone (646) 331-7186

National Provider Directory

National Provider Directory

Locations

8105 Queens Blvd
Unit S2
Elmhurst, NY 11373
Phone (646) 331-7186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1083228720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 STOBE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065235",
            "telephone_number": "646-331-7186",
            "fax_number": "718-667-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 QUEENS BLVD UNIT S2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733750",
            "telephone_number": "646-331-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO PHYSIO PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "AFIFY",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-331-7186",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.