Individual provider Active NPI

Eduard Kho

  • Pediatric Physical Therapist
  • Bronx, NY
National Provider Identifier
1134495161
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
27246 Issued in NY
Practice address
984 Faile St
Bronx, NY 10459-3703
Phone
(718) 589-2733
NPI assigned
Mar 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27246 NY
Pediatric Physical Therapist 2251P0200X 27246 NY Primary

Addresses

Primary practice location

984 Faile St
Bronx, NY 10459-3703

Mailing address

984 Faile St
Bronx, NY 10459-3703
Phone (718) 589-2733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160715000875 NY Practitioner - Physical Therapist in Private Practice 6406148253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Core PT Pta and Rehabilitation PLLCGroup PAC ID 4880985175, 5 clinicians

Practice addresses (Care Compare)

1396 Myrtle Ave
Brooklyn, NY 11237-4513
Phone (718) 509-9888

4626 White Plains Rd
Bronx, NY 10470-1610
Phone (718) 509-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27246NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Core Ptpta and Rehabilitation PLLC Physical Therapist CurrentSince Apr 1, 2016 Accepting new patients
Red Core PT Pta and Rehabilitation PLLC Physical Therapist CurrentSince Apr 1, 2016 Accepting new patients
Bienetre Medical PC Physical Therapist Past Accepting new patients

Locations

4626 White Plains Rd
Bronx, NY 10470
Phone (718) 547-4077

1722 Pitkin Ave
Brooklyn, NY 11212
Phone (929) 415-8856

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1134495161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 FAILE ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593703",
            "telephone_number": "718-589-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 FAILE ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593703",
            "telephone_number": "718-589-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHO",
        "first_name": "EDUARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "27246",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "27246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.