Cosmopolitan Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031641 Issued in NY

Legal business name

COSMOPOLITAN PHYSICAL THERAPY P.C.

Practice address

13630 Maple Ave Ste 2G
Flushing, NY 11355-3867

Phone

(347) 368-6799

Fax

(888) 807-5211

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Sherwin Paller, DPTNPI 1053609156

Title

Physical Therapist

Phone

(347) 255-7063

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Sherwin C Paller, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1053609156
  Medicare reassignment Authorized official
• Jehan Asis Matoza, PT

  • Physical Therapist
  • Mt Pleasant, SC
  • NPI 1922339696
  NPD

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1457710642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3258 NEPTUNE AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724356",
            "telephone_number": "347-255-7063",
            "fax_number": "347-255-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 2G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553867",
            "telephone_number": "347-368-6799",
            "fax_number": "888-807-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOPOLITAN PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "PALLER",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-255-7063",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03397784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Correa Gomez
• Louqueta Cort
• Dennis Dominguez Cortez, PT
• Genesis Gabriela Cortez
• Michael Matthew Corvelli, PA-C
• Eileen A. Costello, FNP
• Luis Edgardo Cova Salazar, SA-C
• Frank A Covino, M.S.P.T.
• Cozy Ride Limousine Inc.
• CRD Associates LLC

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 30, 2025; 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.