Organization Active NPI

Bel Rehabilitation PT, PC.

  • Physical Therapy Clinic/Center
  • East Rockaway, NY
National Provider Identifier
1184963308
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
027734 Issued in NY
Legal business name
BEL REHABILITATION PT, PC.
Practice address
21 Ryder PL Ste 1000
East Rockaway, NY 11518-1200
Phone
(516) 665-2023
Fax
(888) 773-1644
NPI assigned
Feb 7, 2013
Last updated
May 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Authorized official

Name
Mr. Basilio E Lopez, PTNPI 1659515823
Title
President
Phone
(914) 426-7423

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 027734 NY Primary

Addresses

Primary practice location

21 Ryder PL Ste 1000
East Rockaway, NY 11518-1200

Mailing address

21 Ryder PL Ste 1000
East Rockaway, NY 11518-1200
Phone (516) 665-2023

Other practice location 1

3530 64th St
Woodside, NY 11377-2354
Phone (347) 642-9066

Other identifiers 1

IdentifierTypeStateIssuer
03941802MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141114001287 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375760929 Receives reassigned benefits from 2 practitioners
Practice locations: East Rockaway, NY; Woodside, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

14204 Bayside Ave
Ste 8L
Flushing, NY 11354
Phone (718) 445-6477

3530 64th St
Woodside, NY 11377
Phone (347) 642-9066

Practitioners & affiliated clinicians

Practitioners 2

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": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1184963308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RYDER PL STE 1000",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181200",
            "telephone_number": "516-665-2023",
            "fax_number": "888-773-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RYDER PL STE 1000",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181200",
            "telephone_number": "516-665-2023",
            "fax_number": "888-773-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 64th St",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113772354",
            "country_code": "US",
            "telephone_number": "347-642-9066",
            "fax_number": "888-773-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEL REHABILITATION PT, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "BASILIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-426-7423",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "027734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03941802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.