NPIMap

Organization Active NPI

All Care Physical Therapy & Rehabilitation Services PC

  • Physical Therapy Clinic/Center
  • Baldwin, NY
National Provider Identifier
1417040684
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
011913 Issued in NY
Legal business name
ALL CARE PHYSICAL THERAPY & REHABILITATION SERVICES PC
Practice address
1158 Atlantic Ave
Baldwin, NY 11510-4205
Phone
(516) 868-8880
Fax
(516) 868-0685
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Mr. Fernando Tan Tan Jr., P.T.NPI 1871512426
Title
Director Owner
Phone
(516) 868-8880

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 011913 NY Primary

Addresses

Primary practice location

1158 Atlantic Ave
Baldwin, NY 11510-4205

Mailing address

1158 Atlantic Ave
Baldwin, NY 11510-4205
Phone (516) 868-8880

Other names 1

  • Fernando Tan Jr PT dba all care physical therapy & rehab. service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061221000538 NY Part B Supplier - Clinic/Group Practice 4284634213 Receives reassigned benefits from 4 practitioners
Practice locations: Baldwin, NY

National Provider Directory

National Provider Directory

Practitioners 4

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1417040684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 ATLANTIC AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104205",
            "telephone_number": "516-868-8880",
            "fax_number": "516-868-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 ATLANTIC AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104205",
            "telephone_number": "516-868-8880",
            "fax_number": "516-868-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL CARE PHYSICAL THERAPY & REHABILITATION SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "516-868-8880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "011913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fernando Tan Jr PT dba all care physical therapy & rehab. service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.