Prime Physical Therapy & Rehabilitation, P.C

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRIME PHYSICAL THERAPY & REHABILITATION, P.C

Practice address

6536 99TH Street
Suite 1D
Rego Park, NY 11374-4316

Phone

(718) 897-6869

Fax

(718) 685-2101

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

Gavriel Stanley, PT

Title

Owner

Phone

(718) 897-6869

Specialties & licenses 1

Addresses

Tax ID family

Prime Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prime Physical Therapy & Rehabilitation PC

  • Physical Therapist
  • New York, NY
  • NPI 1073764262
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley Gavriel, D.P.T.

  • Physical Therapist
  • Hallandale Beach, FL
  • NPI 1851561328
  NPD (past)

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1265675235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 168TH STREET",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "347-730-4606",
            "fax_number": "866-310-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 99TH STREET",
            "address_2": "SUITE 1D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744316",
            "telephone_number": "718-897-6869",
            "fax_number": "718-685-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHYSICAL THERAPY & REHABILITATION, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "GAVRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-897-6869",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oksana Poltilova, OTR
• Berta Polvanova
• Freshta Poupal
• David Andrew Power, MBBCH
• Irina Priev
• Taylor R Prince
• Jenna Principato, LMSW
• Tamara Priyev, COSMETOLOGIST
• Pro-Health Medical, P.C.
• Professional Health Radiology P.C

• All providers in Rego Park, NY
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.