Organization Active NPI

New York Physical Therapy Rehabilitation Services

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1326185281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0133001 Issued in NY
Legal business name
NEW YORK PHYSICAL THERAPY REHABILITATION SERVICES
Practice address
4004 Bowne St
Suite 1I
Flushing, NY 11354-6143
Phone
(718) 539-3359
Fax
(718) 358-3837
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gertina Tina Kurland, PTNPI 1962523209
Title
Owner
Phone
(917) 297-2504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0133001 NY Primary

Addresses

Primary practice location

4004 Bowne St
Suite 1I
Flushing, NY 11354-6143

Mailing address

20814 Richland Ave
Oakland Gardens, NY 11364-3231
Phone (718) 776-6209

Other identifiers 7

IdentifierTypeStateIssuer
11303OtherNYMAGNACARE
2125145OtherNYVYTRA
6697335OtherNYGHI
0106601OtherNYORTHONET
02071570MedicaidNY
179580OtherNYELDERPLAN
168577POtherNYHIP

National Provider Directory

National Provider Directory
Tax ID family
New York Physical Therapy Rehabilitation Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326185281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20814 RICHLAND AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643231",
            "telephone_number": "718-776-6209",
            "fax_number": "718-358-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 BOWNE ST",
            "address_2": "SUITE 1I",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546143",
            "telephone_number": "718-539-3359",
            "fax_number": "718-358-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PHYSICAL THERAPY REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KURLAND",
        "authorized_official_first_name": "GERTINA",
        "authorized_official_middle_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-297-2504",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0133001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "11303",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "2125145",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6697335",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "0106601",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02071570",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "179580",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "168577P",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.