Organization Active NPI

Unique Rehab PT P.C.

  • Physical Therapist
  • East Northport, NY
National Provider Identifier
1225405889
Registry record updated Aug 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027020 Issued in NY
Legal business name
UNIQUE REHAB PT P.C.
Practice address
157 Town Line Rd
East Northport, NY 11731-3915
Phone
(917) 806-3958
Fax
(631) 368-2512
NPI assigned
Aug 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2015

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

Authorized official

Name
Islam Shafik Abdelaty
Title
Physical Therapist
Phone
(917) 806-3958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 027020 NY Primary

Addresses

Primary practice location

157 Town Line Rd
East Northport, NY 11731-3915

Mailing address

157 Town Line Rd
East Northport, NY 11731-3915
Phone (917) 806-3958

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440806400000",
    "number": "1225405889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TOWN LINE RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313915",
            "telephone_number": "917-806-3958",
            "fax_number": "631-368-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TOWN LINE RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313915",
            "telephone_number": "917-806-3958",
            "fax_number": "631-368-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE REHAB PT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2015-08-29",
        "status": "A",
        "authorized_official_last_name": "ABDELATY",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_middle_name": "SHAFIK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-806-3958"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2015; 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.