Active NPI
Baraka Physical Therapy LLC
- Physical Therapist
- Jackson Heights, NY
National Provider Identifier
1215283221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025928
- Legal business name
- BARAKA PHYSICAL THERAPY LLC
- Doing business as
- Buddies In motion Pediatric Physical Therapy
- Practice address
- 3347 91St St
Jackson Heights, NY 11372-1749 - Phone
- (347) 495-2219
- NPI assigned
- Jul 27, 2012
- 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
- Ms. Mary Luz Sanchez, PT
- Title
- Physical Therapist
- Phone
- (347) 495-2219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025928 | NY | Primary |
Addresses
Primary practice location
3347 91St St
Jackson Heights, NY 11372-1749
Mailing address
3347 91St St
Jackson Heights, NY 11372-1749
Phone (347) 495-2219
Other names 1
- Buddies In motion Pediatric Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Baraka Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Jackson Heights, NY
- NPI 1821472101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Elmhurst, NY
- NPI 1598815391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437004800000",
"number": "1215283221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3347 91ST ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721749",
"telephone_number": "347-495-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3347 91ST ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721749",
"telephone_number": "347-495-2219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARAKA PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-27",
"last_updated": "2015-07-16",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "LUZ",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "347-495-2219",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "025928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Buddies In motion Pediatric Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 16, 2015; 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.