Icare Physical Therapy Functional Rehabilitation PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021579 Issued in NY

Legal business name

ICARE PHYSICAL THERAPY FUNCTIONAL REHABILITATION PC

Practice address

3125 Union St
Flushing, NY 11354-2346

Phone

(718) 445-6477

Fax

(718) 445-6933

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Bill Uy

Title

Physical Therapiest

Phone

(718) 445-6477

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1396011979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542346",
            "telephone_number": "718-445-6477",
            "fax_number": "718-445-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542346",
            "telephone_number": "718-445-6477",
            "fax_number": "718-445-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE PHYSICAL THERAPY FUNCTIONAL REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "UY",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIEST",
        "authorized_official_telephone_number": "718-445-6477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02761360",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Ibragimov
• Shiran Ibragimov, PA
• Barbara Ibragimova, NP
• Berta Ibragimova, MS. SPED
• Ahmed Moursi Ibrahim, PT
• Icare U Medical P.C.
• Icilma V Fergus, MD, PLLC
• Icon Pharmacy Inc
• Shehla Iftekhar, LMHC
• Nesochi Igbokwe, M.D., M.S.

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 Mar 28, 2012; 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.