Kambiz Raoufian Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

034923-1 Issued in NY

Legal business name

KAMBIZ RAOUFIAN PHYSICAL THERAPY PLLC

Doing business as

FullCare Physical Therapy

Practice address

2176 New York Ave
Brooklyn, NY 11210

Phone

(718) 968-5596

NPI assigned

Jun 4, 2018

Last updated

Jun 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kambiz Moshe Raoufian, DPTNPI 1376804153

Title

Physical Therapist

Phone

(718) 968-5596

Specialties & licenses 1

Addresses

Other names 1

• FullCare Physical Therapy Doing business as

Practitioners 1

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.

• Kambiz Raoufian

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1376804153
  Authorized official Same address or phone

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1194217216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105426",
            "telephone_number": "718-968-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "718-968-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMBIZ RAOUFIAN PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "RAOUFIAN",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_middle_name": "MOSHE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-968-5596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "034923-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FullCare Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shruti Vithal Kamat, MBBS
• Hattiyangadi Sangeetha Kamath, M.D.
• Suchitra Ramdas Kamath, DPT,PT
• Samantha Kamber, MA, BCBA, LBA-NY
• Nevena Kamberovich, LMSW
• Kunal Kambli
• Judith Kamdem, RN
• Ariella Kamel
• Mena Kamel
• Safaa Kareem Kamel, MD

• Physical Therapy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.