Mobilecare Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOBILECARE PHYSICAL THERAPY, PC

Practice address

11059 63 Ave
Forest Hills, NY 11375-1405

Phone

(917) 561-2555

NPI assigned

Feb 17, 2020

Last updated

Feb 17, 2020By 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

Dr. Regina Khaimova, DPTNPI 1780833400

Title

Managing Member/Owner

Phone

(917) 561-2555

Specialties & licenses 1

Addresses

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.

• Regina Khaimova

  • Orthopedic Physical Therapist
  • Forest Hills, NY
  • NPI 1780833400
  NPD Authorized official

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1114550373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11059 63 AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11059 63 AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751405",
            "telephone_number": "917-561-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILECARE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "KHAIMOVA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "917-561-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.