Newbridge Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011193 Issued in NY

Legal business name

NEWBRIDGE PHYSICAL THERAPY PC

Practice address

100 Newbridge Rd
Suite 8
Hicksville, NY 11801-3963

Phone

(516) 822-9400

Fax

(516) 822-3418

NPI assigned

May 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jawed A Khan, PTNPI 1538257324

Title

President

Phone

(516) 822-9400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jawed Akber Khan, PT

  • Physical Therapist
  • Hicksville, NY
  • NPI 1538257324
  NPD (past) Authorized official
• Gladys F Materon, PT

  • Physical Therapist
  • Hicksville, NY
  • NPI 1649488842
  NPD (past)

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366650566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEWBRIDGE RD",
            "address_2": "SUITE 8",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013963",
            "telephone_number": "516-822-9400",
            "fax_number": "516-822-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEWBRIDGE RD",
            "address_2": "SUITE 8",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013963",
            "telephone_number": "516-822-9400",
            "fax_number": "516-822-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBRIDGE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JAWED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-822-9400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Cardiovascular Care P.C.
• New York Dialysis Services, Inc.
• New York Manual Therapy
• New York Ophthalmology, PC
• New York Urgent Care PC
• Julia Newman
• Next Step Physical Therapy, PLLC
• Christopher NG
• Katlyn Nguyen, M.S., CCC-SLP
• NHP Services Inc

• Physical Therapist in Hicksville, NY
• Providers in Hicksville, 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 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.