Creative Care PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028129 Issued in MT

Legal business name

CREATIVE CARE PT PC

Practice address

11404 Beach Channel Dr
Far Rockaway, NY 11694-2211

Phone

(718) 945-6100

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Amgad Salib Mikhail

Title

PT

Phone

(718) 496-2726

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleg E. Dron, OTR/L

  • Occupational Therapist
  • Staten Island, NY
  • NPI 1881607950
  NPD (past)

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1134478290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 20TH AVE",
            "address_2": "APARTMENT 3M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11404 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116942211",
            "telephone_number": "718-945-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "AMGAD",
        "authorized_official_middle_name": "SALIB",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "718-496-2726"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "028129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yans Cosculluela Moreno, MD
• Terri Anne Coyle Famularo, LCSW
• Denesha C Craig
• Valerie Craven
• Marshalee Crawford
• Nicole J Crews
• Cynthia Criss, MD
• Cruz Physical Therapy, PC
• Azucena C. Cruz Rey, MD
• Luis Felipe Cruz, MD

• Physical Therapist in Far Rockaway, NY
• Providers in Far Rockaway, 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 Sep 5, 2012; 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.