NPIMap

Organization Active NPI

Woodhaven Physical Therapy & Rehab Services PLLC

Doing business as Woodhaven Physical therapy

  • Physical Therapist
  • Rego Park, NY
National Provider Identifier
1144308438
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24014 Issued in NY
Legal business name
WOODHAVEN PHYSICAL THERAPY & REHAB SERVICES PLLC
Doing business as
Woodhaven Physical therapy
Practice address
6433 98TH St
LL1
Rego Park, NY 11374-3321
Phone
(718) 544-6677
Fax
(718) 544-6688
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christopher Bautista
Title
Administrator
Phone
(718) 544-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24014 NY Primary

Addresses

Primary practice location

6433 98TH St
LL1
Rego Park, NY 11374-3321

Mailing address

6433 98TH St
LL1
Rego Park, NY 11374-3321
Phone (718) 544-6677

Other names 1

  • Woodhaven Physical therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3626 Main St
#P
Flushing, NY 11354
Phone (718) 358-2135

3640 Main St
Flushing, NY 11354
Phone (718) 358-2135

65 W 37th St
Rm 404
New York, NY 10018
Phone (212) 764-3924

Practitioners & affiliated clinicians

Practitioners 9

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144308438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 98TH ST",
            "address_2": "LL1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743321",
            "telephone_number": "718-544-6677",
            "fax_number": "718-544-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 98TH ST",
            "address_2": "LL1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743321",
            "telephone_number": "718-544-6677",
            "fax_number": "718-544-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN PHYSICAL THERAPY & REHAB SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-544-6677"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "24014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodhaven Physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.