Organization Active NPI

Nektalova Physical Therapy & Rehabilitation PC

Doing business as Empire Physical Therapy and Rehabilitation

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1487292645
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEKTALOVA PHYSICAL THERAPY & REHABILITATION PC
Doing business as
Empire Physical Therapy and Rehabilitation
Practice address
11050 Queens Blvd
Forest Hills, NY 11375-6347
Phone
(718) 674-6784
Fax
(718) 674-6968
NPI assigned
Dec 18, 2019
Last updated
Sep 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Authorized official

Name
Natella Nektalova, MPTNPI 1659531010
Title
Physical Therapist
Phone
(718) 674-6784

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 NU Primary

Addresses

Primary practice location

11050 Queens Blvd
Forest Hills, NY 11375-6347

Mailing address

14420 72ND Dr
Flushing, NY 11367-2404
Phone (347) 720-9191

Other names 1

  • Empire Physical Therapy and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230926003555 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608249313 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1487292645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 72ND DR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672404",
            "telephone_number": "347-720-9191",
            "fax_number": "718-674-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756347",
            "telephone_number": "718-674-6784",
            "fax_number": "718-674-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEKTALOVA PHYSICAL THERAPY & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "NEKTALOVA",
        "authorized_official_first_name": "NATELLA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-674-6784",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Physical Therapy and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Empire Physical Therapy and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.