NPIMap

Organization Active NPI

Red Core Ptpta and Rehabilitation PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1275120149
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RED CORE PTPTA AND REHABILITATION PLLC
Practice address
1718 Pitkin Ave
Brooklyn, NY 11212-6604
Phone
(718) 509-9888
Fax
(718) 509-6144
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Eduard Kho
Title
Managing Partner
Phone
(718) 509-9888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X

Addresses

Primary practice location

1718 Pitkin Ave
Brooklyn, NY 11212-6604

Mailing address

PO Box 780173
Maspeth, NY 11378-0173
Phone (718) 509-9888

National Provider Directory

National Provider Directory
Tax ID family
Redcore Physical Therapy and Rehabilitation LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1275120149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780173",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113780173",
            "telephone_number": "718-509-9888",
            "fax_number": "718-509-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126604",
            "telephone_number": "718-509-9888",
            "fax_number": "718-509-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CORE PTPTA AND REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "KHO",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "718-509-9888"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.