Organization Active NPI

BH Physical Therapy PLLC

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1346637790
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037394 Issued in NY
Legal business name
BH PHYSICAL THERAPY PLLC
Practice address
287 Northern Blvd
Suite 105
Great Neck, NY 11021-4700
Phone
(516) 918-9509
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Perela Kahen, PTNPI 1932518818
Title
DPT
Phone
(516) 918-9509

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 037394 NY Primary

Addresses

Primary practice location

287 Northern Blvd
Suite 105
Great Neck, NY 11021-4700

Mailing address

287 Northern Blvd
Suite 105
Great Neck, NY 11021-4700
Phone (516) 918-9509

Other identifiers 1

IdentifierTypeStateIssuer
037934OtherNYNY PT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150811003657 NY Part B Supplier - Clinic/Group Practice 8224343983 Receives reassigned benefits from 1 practitioner
Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Locations

707 Middle Neck Rd
Great Neck, NY 11024
Phone (347) 654-9243

287 Northern Blvd
Ste 105
Great Neck, NY 11021
Phone (516) 918-9509

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": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1346637790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 NORTHERN BLVD",
            "address_2": "SUITE 105",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214700",
            "telephone_number": "516-918-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 NORTHERN BLVD",
            "address_2": "SUITE 105",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214700",
            "telephone_number": "516-918-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "KAHEN",
        "authorized_official_first_name": "PERELA",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "516-918-9509",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PT LICENSE",
            "identifier": "037934",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.