Amir Zakaria Rezek Rezek

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043031 Issued in NY

Practice address

30 N Main St Ste 2
Port Chester, NY 10573-4257

Phone

(914) 939-3143

Fax

(914) 939-3120

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Healing Therapeutics Physical Therapy Part A, PLLC

  • Physical Therapist
  • Port Chester, NY
  • NPI 1396057881
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1376143636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 BOULEVARD W APT 3D",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108032134",
            "telephone_number": "914-817-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MAIN ST STE 2",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734257",
            "telephone_number": "914-939-3143",
            "fax_number": "914-939-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZEK",
        "first_name": "AMIR",
        "middle_name": "ZAKARIA REZEK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila Kiyomi Reid
• Precious Reid, LMSW
• Renaissance Project
• Madelin Retana
• Miguel Angel Reyes, RN
• Cherril M Rhamdeow, FNP
• Anne Ritz
• Monica Rivera, LPN
• Riverdale Medical, P.C.
• Ruby Rizo Marquez

• Physical Therapist in Port Chester, NY
• Providers in Port Chester, 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 Oct 27, 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.