Organization Active NPI

Hello Physical Therapy PC

  • Physical Therapist
  • Corona, NY
National Provider Identifier
1093604654
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HELLO PHYSICAL THERAPY PC
Practice address
10105 Northern Blvd
Corona, NY 11368
Phone
(917) 460-5962
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Amira IsmailNPI 1922655232
Title
DPT
Phone
(917) 460-5962

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

10105 Northern Blvd
Corona, NY 11368

Mailing address

9608 57TH Ave Apt 12E
Corona, NY 11368-3422
Phone (917) 460-5962

Other names 1

  • HELLO PHYSICAL THERAPY PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918003468 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466956719 Receives reassigned benefits from 1 practitioner
Practice locations: Corona, NY

National Provider Directory

National Provider Directory

Locations

10105 Northern Blvd
Corona, NY 11368
Phone (917) 460-5962

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": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1093604654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 57TH AVE APT 12E",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683422",
            "telephone_number": "917-460-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 NORTHERN BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "11368",
            "telephone_number": "917-460-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLO PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "AMIRA",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "917-460-5962"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HELLO PHYSICAL THERAPY PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.