Fidelity Physical Therapy and Rehabilitation PT,PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023904-1 Issued in NY

Legal business name

FIDELITY PHYSICAL THERAPY AND REHABILITATION PT,PC

Doing business as

fidelity physical therapy and rehabilitation pt,pc

Practice address

4047 75TH St FL 1
Elmhurst, NY 11373-1011

Phone

(718) 803-8078

Fax

(718) 803-3568

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Benedito Paulino Da Silva, PTNPI 1467583831

Title

President

Phone

(718) 803-8078

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• fidelity physical therapy and rehabilitation pt,pc Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benedito Paulino Da Silva, PT

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1467583831
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1427385392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 75TH ST FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731011",
            "telephone_number": "718-803-8078",
            "fax_number": "718-803-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 75TH ST FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731011",
            "telephone_number": "718-803-8078",
            "fax_number": "718-803-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY PHYSICAL THERAPY AND REHABILITATION PT,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "DA SILVA",
        "authorized_official_first_name": "BENEDITO",
        "authorized_official_middle_name": "PAULINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-803-8078",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023904-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03134654",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "fidelity physical therapy and rehabilitation pt,pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylan Ferreira
• Michael C. Ferreira, P.A.
• Luisa Ferreras, PA
• Svetlana Fetman, DDS
• Palak Atul Fichadia, M.B.B.S
• Gerald Thomas Field I, FNP
• Victoria Figueroa, CASAC
• Martin J. Fine, M.D.
• Samuel B. Fineman, M.D.
• First Choice Dental

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.