Professional PT OT Services P.L.L.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL PT OT SERVICES P.L.L.C.

Doing business as

REM Rehabilitation PT/OT Services

Practice address

500 Dekalb Ave Ste 401B
Brooklyn, NY 11205-5243

Phone

(516) 667-8844

Fax

(718) 228-5233

NPI assigned

Jan 10, 2020

Last updated

Dec 23, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PROFESSIONAL PT OT SERVICES P.L.L.C.As reported in NPPES

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

Authorized official

Name

Mr. Ian John Mahase, PT

Title

Director

Phone

(516) 667-8844

Specialties & licenses 2

Addresses

Other names 1

• REM Rehabilitation PT/OT Services Doing business as

Part of

Professional PT OT Services

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.

• Hari Polavarapu, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1760551816
  NPD (past)

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1356981039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DEKALB AVE STE 401B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055243",
            "telephone_number": "516-667-8844",
            "fax_number": "718-228-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DEKALB AVE STE 401B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055243",
            "telephone_number": "516-667-8844",
            "fax_number": "718-228-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PT OT SERVICES P.L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL PT OT SERVICES P.L.L.C.",
        "enumeration_date": "2020-01-10",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "MAHASE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-667-8844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REM Rehabilitation PT/OT Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REM Rehabilitation PT/OT Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.