Active NPI
Empire State Rehab PT PC
- Physical Therapy Clinic/Center
- Bronx, NY
National Provider Identifier
1235970666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- EMPIRE STATE REHAB PT PC
- Practice address
- 2386 Jerome Ave FL 2
Bronx, NY 10468-6401 - Phone
- (347) 459-8493
- NPI assigned
- May 31, 2024
- 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
- Ahmed Ghanem, PT
- Title
- Owner
- Phone
- (347) 459-8493
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 Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2386 Jerome Ave FL 2
Bronx, NY 10468-6401
Mailing address
412 Prospect Ave
Dumont, NJ 07628-1404
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- New York, NY
- NPI 1912375163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1235970666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 PROSPECT AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076281404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2386 JEROME AVE FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104686401",
"telephone_number": "347-459-8493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPIRE STATE REHAB PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "GHANEM",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-459-8493",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.