Elmont Rehab PT PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

035958-1 Issued in NY

Legal business name

ELMONT REHAB PT PC

Practice address

10408 Roosevelt Ave
Corona, NY 11368-2328

Phone

(718) 426-6500

NPI assigned

Aug 11, 2014

Last updated

Aug 11, 2014By 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

Ahmed AhmedNPI 1588873681

Title

Owner

Phone

(718) 337-7878

Specialties & licenses 1

Addresses

Tax ID family

Elmont Rehab PT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elmont Rehab PT PC

  • Physical Therapist
  • Far Rockaway, NY
  • NPI 1417258088
  NPD tax ID

Locations

Practitioners 1

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.

• Ahmed S Ahmed, PT

  • Physical Therapist
  • Rockaway Park, NY
  • NPI 1588873681
  NPD Authorized official

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1104235514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10408 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-426-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-426-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMONT REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-337-7878"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "035958-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmcor Youth & Adult Activities Inc
• Elmcor Youth and Adult Activities
• Elmcor Youth and Adult Activities, Inc
• Elmhurst Medical Office,PLLC.
• Elmhurst Optometry Corp
• Alfat Elsaadi
• Howayda Said Eltantawy
• Cecilia Akua Ennin, RN ADN
• Diana Gabriela Eras
• Karla Escobar

• Specialist in Corona, NY
• Providers in Corona, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.