NPIMap

Organization Active NPI

Rehab-Pro of Congers P.T.PLLC

  • Physical Therapy Clinic/Center
  • Congers, NY
National Provider Identifier
1154432920
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
016209 Issued in NY
Legal business name
REHAB-PRO OF CONGERS P.T.PLLC
Practice address
285 N Route 303 Ste 15
Congers, NY 10920-1425
Phone
(845) 268-8998
Fax
(845) 268-8999
NPI assigned
Aug 31, 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
Mrs. Iwona Jolanta Tybinkowska, P.T.NPI 1922040344
Title
Owner
Phone
(845) 268-8998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 016209 NY Primary

Addresses

Primary practice location

285 N Route 303 Ste 15
Congers, NY 10920-1425

Mailing address

285 N Route 303 Ste 15
Congers, NY 10920-1425
Phone (845) 268-8998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061116000511 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769487826 Receives reassigned benefits from 1 practitioner
Practice locations: West Nyack, NY; Congers, NY

National Provider Directory

National Provider Directory

Locations

285 N Route 303
Congers, NY 10920
Phone (845) 268-5122

285 N Route 303
Ste 12
Congers, NY 10920
Phone (845) 268-8988

450 W Nyack Rd
Ste 109
West Nyack, NY 10994

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154432920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N ROUTE 303 STE 15",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201425",
            "telephone_number": "845-268-8998",
            "fax_number": "845-268-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N ROUTE 303 STE 15",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201425",
            "telephone_number": "845-268-8998",
            "fax_number": "845-268-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB-PRO OF CONGERS P.T.PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYBINKOWSKA",
        "authorized_official_first_name": "IWONA",
        "authorized_official_middle_name": "JOLANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-268-8998",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "016209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Congers, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.