Active NPI
Afaaf Fareed Hassan, PT
- Physical Therapy Clinic/Center
- New York, NY
National Provider Identifier
1225310295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 034012-1
- Practice address
- 301 East 57 Street 5TH Floor
Complete Body Physical Therapy PC
New York, NY 10022 - Phone
- (212) 248-3030
- Fax
- (212) 248-3033
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 034012-1 | NY | Primary |
Addresses
Primary practice location
301 East 57 Street 5TH Floor
Complete Body Physical Therapy PC
New York, NY 10022
Mailing address
2142 Utopia Pkwy
Complete Body Physical Therapy PC
Whitestone, NY 11357-4142
Phone (212) 248-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034012-1 | NY | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Symbio Pro PT, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- New York, NY
- NPI 1700335684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1225310295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 UTOPIA PKWY",
"address_2": "COMPLETE BODY PHYSICAL THERAPY PC",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113574142",
"telephone_number": "212-248-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 EAST 57 STREET 5TH FLOOR",
"address_2": "COMPLETE BODY PHYSICAL THERAPY PC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-248-3030",
"fax_number": "212-248-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "AFAAF",
"middle_name": "FAREED",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "034012-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.