Profit Rehab PT PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFIT REHAB PT PLLC

Practice address

49 Weed Ave
Staten Island, NY 10306-4922

Phone

(646) 464-6757

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Amged Gad, PT

Title

President

Phone

(646) 915-2549

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1124522867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WEED AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064922",
            "telephone_number": "646-464-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFIT REHAB PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "GAD",
        "authorized_official_first_name": "AMGED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-915-2549",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Staten Island, NY
• Providers in Staten Island, 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 Mar 19, 2018; 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.