Queens Rehab Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

QUEENS REHAB PHYSICAL THERAPY PC

Practice address

8003 211TH St
Queens Village, NY 11427-1012

Phone

(929) 293-2590

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Sherif Soliman, PT

Title

Owner

Phone

(929) 293-2590

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1164040861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11039 67TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "929-293-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 211TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271012",
            "telephone_number": "929-293-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS REHAB PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-293-2590",
        "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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• Queens Village Dental Associates PC
• Queens Village Hollis Bellerose Volunteer Ambulance Corps Inc
• Queens Village Inc.
• Queens Village Pharmacy Inc.
• Queens Village Primary Medical Care, PLLC

• Physical Therapist in Queens Village, NY
• Providers in Queens Village, 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 Jul 9, 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.