Active NPI
RNT General Medical and Rehab PC
- Physical Therapy Clinic/Center
- Jackson Heights, NY
National Provider Identifier
1164584363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 215979
- Legal business name
- RNT GENERAL MEDICAL AND REHAB PC
- Practice address
- 3744 75TH St
Jackson Heights, NY 11372-6414 - Phone
- (718) 672-5529
- Fax
- (718) 672-5817
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Teyibo, MD
- Title
- Director
- Phone
- (718) 672-5529
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 215979 | NY | |
| Physical Therapy Clinic/Center | 261QP2000X | 215979 | NY | Primary |
Addresses
Primary practice location
3744 75TH St
Jackson Heights, NY 11372-6414
Mailing address
3744 75TH St
Jackson Heights, NY 11372-6414
Phone (718) 672-5529
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1164584363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3744 75TH ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726414",
"telephone_number": "718-672-5529",
"fax_number": "718-672-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3744 75TH ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726414",
"telephone_number": "718-672-5529",
"fax_number": "718-672-5817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RNT GENERAL MEDICAL AND REHAB PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "TEYIBO",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-672-5529",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "215979",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "215979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.