Organization Active NPI

Mitu Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1376051102
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0184751 Issued in NY
Legal business name
MITU PHYSICAL THERAPY PC
Practice address
421 78TH St Ste C
Brooklyn, NY 11209-3447
Phone
(718) 205-7710
NPI assigned
Jan 15, 2018
Last updated
Jan 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Authorized official

Name
Nagah Alaidy, RPTNPI 1295084788
Title
RPT
Phone
(718) 205-7710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0184751 NY Primary

Addresses

Primary practice location

421 78TH St Ste C
Brooklyn, NY 11209-3447

Mailing address

3728 75TH St Lowr Level
Jackson Heights, NY 11372-6426
Phone (718) 205-7710

National Provider Directory

National Provider Directory

Locations

3728 75th St
Lowr
Jackson Heights, NY 11372
Phone (718) 205-7710

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1376051102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 75TH ST LOWR LEVEL",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726426",
            "telephone_number": "718-205-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 78TH ST STE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093447",
            "telephone_number": "718-205-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITU PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "ALAIDY",
        "authorized_official_first_name": "NAGAH",
        "authorized_official_title_or_position": "RPT",
        "authorized_official_telephone_number": "718-205-7710",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0184751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.