Active NPI
Bel Rehabilitation PT, PC.
- Physical Therapy Clinic/Center
- East Rockaway, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 027734
- 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, 2024
- 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
- Mr. Basilio E Lopez, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03941802 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- East Rockaway, NY
- NPI 1659515823
-
- Physical Therapist
- New York, NY
- NPI 1508166182
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.