Individual provider Active NPI

Eliian Ramezani

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1356772156
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037150 Issued in NY
Practice address
444 Middle Neck Rd Apt 1H
Great Neck, NY 11023
Phone
(917) 334-5552
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037150 NY Primary

Addresses

Primary practice location

444 Middle Neck Rd Apt 1H
Great Neck, NY 11023

Mailing address

444 Middle Neck Rd Apt 1H
Great Neck, NY 11023-1455
Phone (917) 334-5552

Other practice location 1

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone (516) 829-0030

Other practice location 2

14 Beach Rd Apt 1B
Great Neck, NY 11023-1166
Phone (917) 334-5552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140424001154 NY Practitioner - Physical Therapist in Private Practice 8527291707 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037150NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Mar 19, 2019 Accepting new patients
Yk Physical Therapy PLLC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Aug 5, 2022 Accepting new patients
Othniel Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023

475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1356772156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MIDDLE NECK RD APT 1H",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231455",
            "telephone_number": "917-334-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MIDDLE NECK RD APT 1H",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023",
            "telephone_number": "917-334-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214802",
            "country_code": "US",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Beach Rd Apt 1B",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110231166",
            "country_code": "US",
            "telephone_number": "917-334-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMEZANI",
        "first_name": "ELIIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037150",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 4, 2018; 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.