Organization Active NPI

Total Dimention Therapy LLC.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1104088699
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
022859 Issued in NY
Legal business name
TOTAL DIMENTION THERAPY LLC.
Practice address
2421 Avenue U
Brooklyn, NY 11229-4905
Phone
(718) 616-1966
Fax
(718) 382-5252
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Ahmed Dardeir, DPT
Title
Owner
Phone
(718) 616-1966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 022859 NY Primary

Addresses

Primary practice location

2421 Avenue U
Brooklyn, NY 11229-4905

Mailing address

2421 Avenue U
Brooklyn, NY 11229-4905
Phone (718) 616-1966

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1104088699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294905",
            "telephone_number": "718-616-1966",
            "fax_number": "718-382-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294905",
            "telephone_number": "718-616-1966",
            "fax_number": "718-382-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DIMENTION THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "DARDEIR",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-616-1966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "022859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.