Organization Active NPI

City Rehab Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Glendale, NY
National Provider Identifier
1235752668
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Kareem AhmedNPI 1811483027
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
041424OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200611002203 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789007394 Receives reassigned benefits from 2 practitioners
Practice locations: Nanuet, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.