NPIMap

Organization Active NPI

Integrative Rehabilitation PT PC

  • Physical Therapist
  • Long Beach, NY
National Provider Identifier
1285562744
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INTEGRATIVE REHABILITATION PT PC
Practice address
274 W Broadway
Long Beach, NY 11561-3911
Phone
(732) 399-9700
Fax
(516) 308-2981
NPI assigned
May 13, 2026
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Avraham FriedmanNPI 1710496914
Title
Owner
Phone
(732) 399-9700

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)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

274 W Broadway
Long Beach, NY 11561-3911

Mailing address

1105 E County Line Rd Ste 213
Lakewood, NJ 08701-2178
Phone (732) 399-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260617000112 NY Part B Supplier - Clinic/Group Practice 3678045044 Receives reassigned benefits from 10 practitioners
Practice locations: Brooklyn, NY; Staten Island, NY; Rego Park, NY; Long Beach, NY; Hempstead, NY; Corona, NY; East Elmhurst, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1285562744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E COUNTY LINE RD STE 213",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012178",
            "telephone_number": "732-399-9700",
            "fax_number": "516-308-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613911",
            "telephone_number": "732-399-9700",
            "fax_number": "516-308-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE REHABILITATION PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-399-9700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.

Verify at the official NPI Registry.