Bayside Physical Therapy&Rehabilitation PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

10504-01 Issued in NY

Legal business name

BAYSIDE PHYSICAL THERAPY&REHABILITATION PC

Practice address

345 E 94TH St
New York, NY 10128-5684

Phone

(212) 534-1500

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Liza Tan, PHYSICAL THERAPIST

Title

President

Phone

(718) 459-3311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396961132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 66TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752242",
            "telephone_number": "718-459-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 94TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285684",
            "telephone_number": "212-534-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE PHYSICAL THERAPY&REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-459-3311",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "10504-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noreen Requijo Baynes, N.P.
• Mary S. Bayno, D.O.
• Margo Ann Bayroff, LCSW
• Gabriella Bayshtok
• Bayside Pain Management
• Lori Bazaj
• Niyi Bazan, M.A. CCC-SLP
• Abdulhamid Bazarbachi, MD
• Enas Bazaz, MD
• Mona Bazazzadeh

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.