Active NPI
City Rehab Physical Therapy PC
- Physical Medicine & Rehabilitation Physician
- Glendale, NY
National Provider Identifier
1235752668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- CITY REHAB PHYSICAL THERAPY PC
- Practice address
- 6937 Myrtle Ave
Glendale, NY 11385-7265 - Phone
- (718) 386-8686
- Fax
- (718) 386-8685
- NPI assigned
- May 20, 2020
- Last updated
- May 20, 2020
- 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
- Kareem Ahmed
- Title
- PT, DPT Owner
- Phone
- (929) 355-9391
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
6937 Myrtle Ave
Glendale, NY 11385-7265
Mailing address
6937 Myrtle Ave
Glendale, NY 11385-7265
Phone (718) 386-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041424 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3041 Avenue U
Bsmt
Brooklyn, NY 11229
162 E Route 59
Nanuet, NY 10954
Phone (845) 694-8808
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1811483027
-
- Physical Therapist
- Nanuet, NY
- NPI 1619679917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1235752668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6937 MYRTLE AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857265",
"telephone_number": "718-386-8686",
"fax_number": "718-386-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6937 MYRTLE AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857265",
"telephone_number": "718-386-8686",
"fax_number": "718-386-8685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY REHAB PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "KAREEM",
"authorized_official_title_or_position": "PT, DPT OWNER",
"authorized_official_telephone_number": "929-355-9391"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "041424",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.