Organization Active NPI

Guardian Physical Therapy PC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1497178230
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GUARDIAN PHYSICAL THERAPY PC
Practice address
7 Dey St
Ste 1400
New York, NY 10007-3201
Phone
(631) 805-8655
Fax
(718) 998-9059
NPI assigned
Jan 30, 2014
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Khaled Aaga, DPT
Title
President
Phone
(631) 805-8655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7 Dey St
Ste 1400
New York, NY 10007-3201

Mailing address

7 Dey St
Ste 1400
New York, NY 10007-3201
Phone (631) 805-8655

Other identifiers 1

IdentifierTypeStateIssuer
032839OtherNYLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1497178230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DEY ST",
            "address_2": "STE 1400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073201",
            "telephone_number": "631-805-8655",
            "fax_number": "718-998-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DEY ST",
            "address_2": "STE 1400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073201",
            "telephone_number": "631-805-8655",
            "fax_number": "718-998-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "AAGA",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-805-8655",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "032839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.