NPIMap

Organization Active NPI

Lerner Physical Therapy, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Kew Gardens, NY
National Provider Identifier
1104369024
Registry record updated Nov 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
035734 Issued in NY
Legal business name
LERNER PHYSICAL THERAPY, PLLC
Practice address
11882 Metropolitan Ave
Suite 1B
Kew Gardens, NY 11415-2001
Phone
(718) 850-1414
NPI assigned
Nov 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2016

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

Authorized official

Name
Daniel Lerner, DPT
Title
DPT
Phone
(718) 850-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 035734 NY Primary

Addresses

Primary practice location

11882 Metropolitan Ave
Suite 1B
Kew Gardens, NY 11415-2001

Mailing address

2667 Batchelder St
Brooklyn, NY 11235-1601
Phone (718) 850-1414

National Provider Directory

National Provider Directory
Tax ID family
Lerner Physical Therapy PLLC2 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.

Locations

11882 Metropolitan Ave
Ste 1B
Kew Gardens, NY 11415
Phone (718) 850-1414

NPI Registry JSON

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

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480032000000",
    "number": "1104369024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 BATCHELDER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351601",
            "telephone_number": "718-850-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11882 METROPOLITAN AVE",
            "address_2": "SUITE 1B",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152001",
            "telephone_number": "718-850-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LERNER PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-25",
        "last_updated": "2016-11-25",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "718-850-1414",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "035734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.