Royal Rehab Physical Therapy PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

031272 Issued in NY

Legal business name

ROYAL REHAB PHYSICAL THERAPY PC

Practice address

92-56 Queens Blvd
Rego Park, NY 11374

Phone

(718) 426-5100

Fax

(718) 426-5110

NPI assigned

May 10, 2011

Organization subpart

No

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

Authorized official

Name

Yan Yusupov, P.T.

Title

P.T.

Phone

(718) 426-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1184916124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 63 RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-426-5100",
            "fax_number": "718-426-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-56 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-426-5100",
            "fax_number": "718-426-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL REHAB PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "YUSUPOV",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "718-426-5100",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "031272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Jay Rosenmann
• Jeffrey Steven Rosner, DC
• Steven Ross, D.O.
• Royal Adult Daycare LLC
• Royal Registry Inc.
• RT Physical Therapy and Rehabilitation, PLLC
• Dmitriy Rubenov, PHARM.D
• Aleksandr Rubinov
• David Rubinov
• Gabriyel Rubinov

• Specialist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.