Maf Rehab PT PC

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Legal business name

MAF REHAB PT PC

Practice address

3720 Prince St Ste 2F
Flushing, NY 11354-4499

Phone

(347) 788-7818

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Marievic B Ebora Fernando, DPT

Title

Manager

Phone

(347) 788-7818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1356016364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 PRINCE ST STE 2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544499",
            "telephone_number": "347-788-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 PRINCE ST STE 2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544499",
            "telephone_number": "347-788-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAF REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "EBORA FERNANDO",
        "authorized_official_first_name": "MARIEVIC",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-788-7818",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Maddox, P.A.
• Madhu Sinha MD PC
• Madireddy Subbareddy MD PC
• Elizabeth Madrigal
• Ki Tae Maeng, PT, LAC
• Shamika Magalee, LPN
• Sergio Magana Avila, MD
• Paul Magda, DO
• Magdy Elsharouny DDS PC
• Maggie'S Group Family Daycare LLC

• Geriatric Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Geriatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.