Organization Active NPI

North Coast Physical Therapy & Rehab, P.C.

  • Health Maintenance Organization
  • Bronx, NY
National Provider Identifier
1396068425
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
023514 Issued in NY
Legal business name
NORTH COAST PHYSICAL THERAPY & REHAB, P.C.
Practice address
2367 Westchester Ave
Bronx, NY 10462-5007
Phone
(718) 597-1090
Fax
(718) 597-2902
NPI assigned
Mar 3, 2010
Last updated
Mar 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Islam Sherif, PHYSICAL THERAPISTNPI 1851593610
Title
President
Phone
(917) 686-0497

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 023514 NY Primary
Early Intervention Provider Agency 252Y00000X 023514 NY

Addresses

Primary practice location

2367 Westchester Ave
Bronx, NY 10462-5007

Mailing address

2367 Westchester Ave
Bronx, NY 10462-5007
Phone (718) 597-1090

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, 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": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1396068425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625007",
            "telephone_number": "718-597-1090",
            "fax_number": "718-597-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625007",
            "telephone_number": "718-597-1090",
            "fax_number": "718-597-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST PHYSICAL THERAPY & REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "SHERIF",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-686-0497",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "023514",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "023514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.