Organization Active NPI

Plus Physical Therapy PC

  • Specialist
  • Jackson Heights, NY
National Provider Identifier
1114381126
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0184751 Issued in NY
Legal business name
PLUS PHYSICAL THERAPY PC
Practice address
3728 75TH St
Jackson Heights, NY 11372-6426
Phone
(718) 205-7710
Fax
(718) 205-7730
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Nagah a Alaidy, PT
Title
PT
Phone
(718) 205-7710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0184751 NY Primary

Addresses

Primary practice location

3728 75TH St
Jackson Heights, NY 11372-6426

Mailing address

3728 75TH St
Jackson Heights, NY 11372-6426
Phone (718) 205-7710

Other identifiers 1

IdentifierTypeStateIssuer
0184751OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221000866 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648551168 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson Heights, NY; Woodside, NY; Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

3728 75th St
Jackson Hts, NY 11372
Phone (516) 587-4468

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1114381126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 75TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726426",
            "telephone_number": "718-205-7710",
            "fax_number": "718-205-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 75TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726426",
            "telephone_number": "718-205-7710",
            "fax_number": "718-205-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "ALAIDY",
        "authorized_official_first_name": "NAGAH A",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "718-205-7710",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0184751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0184751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.