Adam I Cohen, D.P.T.

Individual provider Active NPI Physical Therapist · Oakland Gardens, NY

NPI 1497943526 · NPPES record last updated Oct 15, 2007

Key facts

NPI
1497943526
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
029473-1 (NY)
Practice address
20809 Union Tpke
Oakland Gardens, NY 11364-3235
Phone
(718) 479-6370
Fax
(718) 464-0954
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13124 Rockaway Blvd
South Ozone Park, NY 11420-2932
Phone (718) 659-7166

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080428000091 NY Practitioner - Physical Therapist in Private Practice 2567540818 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
029473-1NYMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 029473-1 NY Yes

Addresses

Primary practice location

20809 Union Tpke
Oakland Gardens, NY 11364-3235

Mailing address

20809 Union Tpke
Oakland Gardens, NY 11364-3235
Phone (718) 479-6370

Other providers in Oakland Gardens, NY

All providers in Oakland Gardens, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.