Active NPI
Elmont Rehab PT PC
- Physical Therapist
- Far Rockaway, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018065
- Legal business name
- ELMONT REHAB PT PC
- Practice address
- 265 Beach 20TH St
Far Rockaway, NY 11691-3625 - Phone
- (718) 337-7878
- Fax
- (718) 337-7877
- NPI assigned
- Nov 12, 2010
- Last updated
- Sep 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmed S Ahmed
- Title
- Owner
- Phone
- (718) 909-0968
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018065 | NY | Primary |
Addresses
Primary practice location
265 Beach 20TH St
Far Rockaway, NY 11691-3625
Mailing address
PO Box 901050
Far Rockaway, NY 11690-1050
Phone (718) 337-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Elmont Rehab PT
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Corona, NY
- NPI 1104235514
Locations
762 Elmont Rd
Elmont, NY 11003
Phone (347) 240-2247
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Physical Therapist
- Rockaway Park, NY
- NPI 1588873681
-
- Physical Therapist
- Far Rockaway, NY
- NPI 1588374722
-
- Physical Therapist
- Brooklyn, NY
- NPI 1144862673
-
- Physical Therapy Clinic/Center
- Forest Hills, NY
- NPI 1225281041
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379894400000",
"number": "1417258088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 901050",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116901050",
"telephone_number": "718-337-7878",
"fax_number": "718-337-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 BEACH 20TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116913625",
"telephone_number": "718-337-7878",
"fax_number": "718-337-7877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMONT REHAB PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-12",
"last_updated": "2013-09-23",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "AHMED",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-909-0968"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.