NPIMap

Organization Active NPI

Habitat Physical Therapy PLLC

Doing business as Habitat Physical Therapy

  • Physical Therapy Clinic/Center
  • Rego Park, NY
National Provider Identifier
1316514672
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HABITAT PHYSICAL THERAPY PLLC
Doing business as
Habitat Physical Therapy
Practice address
6613 Burns St Apt 2F
Rego Park, NY 11374-3950
Phone
(646) 752-3960
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Marvin CanitaNPI 1144388836
Title
Owner/Physical Therapist
Phone
(646) 450-6768

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6613 Burns St Apt 2F
Rego Park, NY 11374-3950

Mailing address

6613 Burns St Apt 2F
Rego Park, NY 11374-3950
Phone (646) 752-3960

Other names 1

  • Habitat Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.habitatphysio.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1316514672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 BURNS ST APT 2F",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743950",
            "telephone_number": "646-752-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 BURNS ST APT 2F",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743950",
            "telephone_number": "646-752-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABITAT PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "CANITA",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-450-6768"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.habitatphysio.com",
            "affiliation": "N",
            "address_1": "6613 Burns St Apt 2F",
            "city": "Rego Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113743950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Habitat Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Habitat Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.