Organization Active NPI

Five S & a Rehab P.T. P.C.

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1508168212
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019816 Issued in NY
Legal business name
FIVE S & A REHAB P.T. P.C.
Practice address
14434 Hillside Ave
Jamaica, NY 11435-3324
Phone
(347) 869-3817
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Shaban ElamawayNPI 1154623866
Title
President
Phone
(347) 869-3817

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 019816 NY Primary

Addresses

Primary practice location

14434 Hillside Ave
Jamaica, NY 11435-3324

Mailing address

14434 Hillside Ave
Jamaica, NY 11435-3324
Phone (347) 869-3817

National Provider Directory

National Provider Directory

Locations

14434 Hillside Ave
Jamaica, NY 11435
Phone (347) 869-3817

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1508168212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14434 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353324",
            "telephone_number": "347-869-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14434 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353324",
            "telephone_number": "347-869-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE S & A REHAB P.T. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "ELAMAWAY",
        "authorized_official_first_name": "SHABAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-869-3817"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019816",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 1, 2010; 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.