Clins Puthussery Varghese

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

029972 Issued in NY

Practice address

21273 26TH Ave
Bayside, NY 11360-1943

Phone

(718) 747-2019

NPI assigned

Oct 20, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Doctor,P.C.Group PAC ID 0446491427, 9 clinicians

Hands of Hope PT P.C.Group PAC ID 8022323781, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Physical Therapy Doctor,P.C

  • Physical Therapist
  • Bayside, NY
  • NPI 1568494300
  Medicare reassignment Care Compare group NPD
• Hands of Hope PT PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1932583663
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1275400889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 MCCLURE AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033311",
            "telephone_number": "516-737-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21273 26TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601943",
            "telephone_number": "718-747-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHUSSERY VARGHESE",
        "first_name": "CLINS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "029972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Healthcare
• Carolyn Presky
• Karyn Ruth Price, LMSW
• Primary Care Associates, LLP
• Boris S Pugachevsky, PT
• Jimmy Qiu
• Mary Elizabeth Queally, REGISTERED NURSE
• Queens County Physical Therapy and Wellness,PC
• Queens Eyecare Physician PC
• Queens Rehabilitation & Diagnostics

• Physical Rehabilitation Occupational Therapist in Bayside, NY
• Providers in Bayside, NY by specialty
• Physical Rehabilitation Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.