Active NPI
Maryam Farzaneh Alkhas, BS PHYSICAL THERAPY
- Pediatric Physical Therapist
- New York, NY
National Provider Identifier
1265686828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 012019-1
- Practice address
- 593 Riverside Dr Apt 3F
New York, NY 10031-8022 - Phone
- (646) 425-9833
- Fax
- (212) 283-8627
- NPI assigned
- Nov 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 012019-1 | NY | Primary |
Addresses
Primary practice location
593 Riverside Dr Apt 3F
New York, NY 10031-8022
Mailing address
593 Riverside Dr Apt 3F
New York, NY 10031-8022
Phone (646) 425-9833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012019 | NY | MD | Mental Health Counselor |
| 012019-1 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Development Resources Inc | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1265686828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 RIVERSIDE DR APT 3F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100318022",
"telephone_number": "646-425-9833",
"fax_number": "212-283-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 RIVERSIDE DR APT 3F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100318022",
"telephone_number": "646-425-9833",
"fax_number": "212-283-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKHAS",
"first_name": "MARYAM",
"middle_name": "FARZANEH",
"name_prefix": "Ms.",
"credential": "BS PHYSICAL THERAPY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "012019-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.