NPIMap

Organization Active NPI

Rockaway Beach Physical Therapy of Ny PLLC

Doing business as RBNY Physical Therapy

  • Physical Therapist
  • Rockaway Park, NY
National Provider Identifier
1447790845
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034259 Issued in NY
Legal business name
ROCKAWAY BEACH PHYSICAL THERAPY OF NY PLLC
Doing business as
RBNY Physical Therapy
Practice address
11915 Rockaway Beach Blvd
Rockaway Park, NY 11694-1970
Phone
(718) 634-3211
Fax
(718) 634-0926
NPI assigned
Mar 3, 2017
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Mrs. Katelyn Marie Cusmiani, DPTNPI 1295019917
Title
Owner PT
Phone
(718) 634-3211

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 Therapist 225100000X 034259 NY Primary

Addresses

Primary practice location

11915 Rockaway Beach Blvd
Rockaway Park, NY 11694-1970

Mailing address

11915 Rockaway Beach Blvd
Rockaway Park, NY 11694-1970
Phone (718) 634-3211

Other names 1

  • RBNY Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170505000572 NY Part B Supplier - Clinic/Group Practice 9436436193 Receives reassigned benefits from 10 practitioners
Practice locations: Howard Beach, NY; Rockaway Park, NY

National Provider Directory

National Provider Directory

Locations

8611 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 634-1737

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1447790845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941970",
            "telephone_number": "718-634-3211",
            "fax_number": "718-634-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941970",
            "telephone_number": "718-634-3211",
            "fax_number": "718-634-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY BEACH PHYSICAL THERAPY OF NY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "CUSMIANI",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER PT",
        "authorized_official_telephone_number": "718-634-3211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RBNY Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.