Crescent Physical Therapy P.C.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

025975 Issued in NY

Legal business name

CRESCENT PHYSICAL THERAPY P.C.

Doing business as

Khurram Khan

Practice address

2124 30TH Ave
Suite C1
Astoria, NY 11102-4189

Phone

(917) 685-5954

Fax

(718) 545-0999

NPI assigned

May 18, 2006

Last updated

Feb 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khurram Khan, P.T.NPI 1891740429

Title

President/Owner

Phone

(917) 685-5954

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Khurram Khan Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khurram Khan, P.T.

  • Orthopedic Physical Therapist
  • Astoria, NY
  • NPI 1891740429
  Medicare reassignment NPD Authorized official
• Fahad Nawaz, PTA

  • Physical Therapy Assistant
  • Astoria, NY
  • NPI 1457074932
  NPD
• Jeremy Macaraig, PT

  • Physical Therapist
  • Astoria, NY
  • NPI 1366865701
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1083667109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 30TH AVE",
            "address_2": "SUITE C1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024189",
            "telephone_number": "917-685-5954",
            "fax_number": "718-545-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 30TH AVE",
            "address_2": "SUITE C1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024189",
            "telephone_number": "917-685-5954",
            "fax_number": "718-545-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KHURRAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "917-685-5954",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "025975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "6607395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Khurram Khan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeri Latrice Crenshaw, P.A
• Crescent Endoscopy PC
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• Crescent Organix Pharmacy LLC
• Crescent Pharmacy Inc (Ny Pharmacy)
• Crescent Radiology PLLC
• Cresent Endoscopy Center Inc
• Sheila Criss, RPA
• Bernard A Crowl Jr.
• Crown Chemists LTD

• Orthopedic Physical Therapist in Astoria, NY
• Providers in Astoria, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.