Organization Active NPI

Ih Rehab PT PC

  • Physical Therapy Clinic/Center
  • Jamaica, NY
National Provider Identifier
1386330454
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
IH REHAB PT PC
Practice address
17004 Henley Rd
Jamaica, NY 11432-2786
Phone
(646) 725-4026
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Islam Hewidy, PT,DPT,DSC,OCS,MSPTNPI 1386188977
Title
Owner
Phone
(646) 725-4026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

17004 Henley Rd
Jamaica, NY 11432-2786

Mailing address

1443 73Rd St # 1F
Brooklyn, NY 11228-2111
Phone (646) 725-4026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1386330454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 73RD ST # 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282111",
            "telephone_number": "646-725-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17004 HENLEY RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322786",
            "telephone_number": "646-725-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IH REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "HEWIDY",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-725-4026",
        "authorized_official_credential": "PT,DPT,DSC,OCS,MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.