Individual provider Active NPI

Imrul Kabir, P.T., D.P.T.

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1497905608
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018530 Issued in NY
Practice address
16902 Highland Ave
Jamaica, NY 11432-2632
Phone
(718) 314-6763
Fax
(347) 923-3217
NPI assigned
Sep 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 018530 NY Primary

Addresses

Primary practice location

16902 Highland Ave
Jamaica, NY 11432-2632

Mailing address

8450 169TH St
Apt 415
Jamaica, NY 11432-2049
Phone (718) 314-6763

Other practice location 1

4122 75th St
Elmhurst, NY 11373-1956
Phone (718) 314-6763

Other practice location 2

303 Beverley Rd Ste Pr1
Brooklyn, NY 11218-3137
Phone (718) 844-4623

Other identifiers 1

IdentifierTypeStateIssuer
03427938MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000009 NY Practitioner - Physical Therapist in Private Practice 1355509357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City Homecare LLC Current Accepting new patients
Therakids, LLP PastSince May 24, 2020 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1497905608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 169TH ST",
            "address_2": "APT 415",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322049",
            "telephone_number": "718-314-6763",
            "fax_number": "347-923-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16902 HIGHLAND AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322632",
            "telephone_number": "718-314-6763",
            "fax_number": "347-923-3217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4122 75th St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731956",
            "country_code": "US",
            "telephone_number": "718-314-6763",
            "fax_number": "347-923-3217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Beverley Rd Ste Pr1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112183137",
            "country_code": "US",
            "telephone_number": "718-844-4623",
            "fax_number": "347-923-3217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABIR",
        "first_name": "IMRUL",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03427938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.