Mid-Nassau PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015236-1 Issued in NY

Legal business name

MID-NASSAU PT

Practice address

10814 72ND Ave
4TH Floor
Forest Hills, NY 11375-5350

Phone

(718) 520-8480

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ramak Bakhshoudeh, PTNPI 1457575201

Title

President

Phone

(718) 520-8480

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

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.

• Ramak Bakhshoudeh, P.T.

  • Physical Therapist
  • Hauppauge, NY
  • NPI 1457575201
  NPD (past) Authorized official
• Shuriz Hishmeh, MD, PT

  • Orthopaedic Surgery of the Spine Physician
  • Syosset, NY
  • NPI 1740373133

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447474275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 OLD COUNTRY RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291927",
            "telephone_number": "718-520-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10814 72ND AVE",
            "address_2": "4TH FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755350",
            "telephone_number": "718-520-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-NASSAU PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKHSHOUDEH",
        "authorized_official_first_name": "RAMAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-520-8480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015236-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "141864P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6698072",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q03D51",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abe Michaels, DDS
• Chloe Michaelson
• Miri Michel
• Michelle Marciano SLP P.C.
• Jessica Micucci
• Beverly Mierov, SPECIAL EDUCATOR
• Sonia Mikell, SPECIAL EDUCATOR
• Gina Mikhaylov
• Adrienn Miklos, LCSW
• Mariusz Mikulec, L.AC.

• Physical Therapist in Forest Hills, NY
• Providers in Forest Hills, 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 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.