Organization Active NPI

Rehab Focus Physical Therapy,PC

  • Specialist
  • Elmhurst, NY
National Provider Identifier
1316318041
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
032691 Issued in NY
Legal business name
REHAB FOCUS PHYSICAL THERAPY,PC
Practice address
86-35 Queens Blvd.
Suite 1B
Elmhurst, NY 11373-4408
Phone
(718) 533-8588
Fax
(718) 533-1249
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Othilia Tenorio Jumagdao, DPT
Title
Director
Phone
(718) 533-8588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 032691 NY Primary

Addresses

Primary practice location

86-35 Queens Blvd.
Suite 1B
Elmhurst, NY 11373-4408

Mailing address

86-35 Queens Blvd.
Suite 1B
Elmhurst, NY 11373-4408
Phone (718) 533-8588

Other identifiers 1

IdentifierTypeStateIssuer
032691OtherNYLICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151102002000 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204146335 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1316318041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-35 QUEENS BLVD.",
            "address_2": "SUITE 1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734408",
            "telephone_number": "718-533-8588",
            "fax_number": "718-533-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-35 QUEENS BLVD.",
            "address_2": "SUITE 1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734408",
            "telephone_number": "718-533-8588",
            "fax_number": "718-533-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB FOCUS PHYSICAL THERAPY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "JUMAGDAO",
        "authorized_official_first_name": "OTHILIA",
        "authorized_official_middle_name": "TENORIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-533-8588",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "032691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "032691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.