Queensboro Physical Therapy of South Ozone Park, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5334 Issued in NY

Legal business name

QUEENSBORO PHYSICAL THERAPY OF SOUTH OZONE PARK, PC

Practice address

11420 Rockaway Blvd
South Ozone Park, NY 11420-1912

Phone

(718) 845-4616

Fax

(718) 845-1965

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas F Oricchio, R.P.T.NPI 1639223936

Title

President

Phone

(718) 845-4616

Specialties & licenses 1

Addresses

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.

• Nicholas F Oricchio, R.P.T.

  • Physical Therapist
  • South Ozone Park, NY
  • NPI 1639223936
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1487708707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201912",
            "telephone_number": "718-845-4616",
            "fax_number": "718-845-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201912",
            "telephone_number": "718-845-4616",
            "fax_number": "718-845-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSBORO PHYSICAL THERAPY OF SOUTH OZONE PARK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "ORICCHIO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-845-4616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "5334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Prasad
• Courtney R Pryce-Hudson, MHC
• Sergey Pugach
• Keyla Quebrada
• Queenboro Physical Therapy
• Edita M Raagas, M.D.
• Samara Rahman
• Ralph Edward Schlossman MDPC
• Camille Rambharose
• Amalaky Ramdan, LMSW

• Physical Therapist in South Ozone Park, NY
• Providers in South Ozone Park, 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 6, 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.