Organization Active NPI

United Rehab Physical Therapy P.C.

  • Physical Therapist
  • Ronkonkoma, NY
National Provider Identifier
1235380031
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNITED REHAB PHYSICAL THERAPY P.C.
Practice address
2805 Veterans Memorial Hwy
Suite # 9
Ronkonkoma, NY 11779-7647
Phone
(631) 805-2850
Fax
(631) 670-6475
NPI assigned
Oct 10, 2008
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Mr. Krishna Chaitanya Kalidindi, PT
Title
President
Phone
(631) 805-2850

Specialties & licenses 1

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

Addresses

Primary practice location

2805 Veterans Memorial Hwy
Suite # 9
Ronkonkoma, NY 11779-7647

Mailing address

700 Horseblock Road
Farmingville, NY 11738-1839
Phone (631) 805-2850

National Provider Directory

National Provider Directory

Locations

160 Commack Rd
Ste M3
Commack, NY 11725
Phone (631) 389-4650

465 Blue Point Rd
Ste A
Farmingville, NY 11738
Phone (631) 320-0141

700 Horseblock Rd
Farmingville, NY 11738
Phone (631) 676-1739

2805 Veterans Memorial Hwy
Ste 9
Ronkonkoma, NY 11779
Phone (631) 738-8300

3075 Veterans Memorial Hwy
Ste 101
Ronkonkoma, NY 11779
Phone (631) 389-4640

450 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 204-6190

3353 Park Ave
Wantagh, NY 11793
Phone (516) 221-2885

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1235380031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HORSEBLOCK ROAD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381839",
            "telephone_number": "631-805-2850",
            "fax_number": "631-670-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VETERANS MEMORIAL HWY",
            "address_2": "SUITE # 9",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797647",
            "telephone_number": "631-805-2850",
            "fax_number": "631-670-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHAB PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "KALIDINDI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "CHAITANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-805-2850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.