Hader Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HADER PHYSICAL THERAPY PC

Practice address

18 E 116TH St
New York, NY 10029-1041

Phone

(212) 828-8844

Fax

(718) 524-6228

NPI assigned

Oct 3, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Ann Winheim

Title

Credentialing Agent

Phone

(845) 680-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Ayman Mohamed Elattar, P.T.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1689960080
  NPD (past)
• Alrie Oconner Waite, OTR

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1629393764
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1396029807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291041",
            "telephone_number": "212-828-8844",
            "fax_number": "718-524-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291041",
            "telephone_number": "212-828-8844",
            "fax_number": "718-524-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADER PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "WINHEIM",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "845-680-6800"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03224531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven R Haddock
• Patricia Haddon, LCSW
• Jesse J Hade, M.D
• Kara Marie Hade, MHC-LP
• Georgina Haden, MD
• Luke Hadge, PH.D.
• Sara Hadi
• Bana Hadid
• Nastaran Hadji Hosseini, PA-C
• Boyan Hadjiev, M.D.

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.