Queens Brooklyn Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

QUEENS BROOKLYN PHYSICAL THERAPY

Practice address

6093 Myrtle Ave
Ridgewood, NY 11385-5926

Phone

(718) 490-9909

Fax

(347) 223-4405

NPI assigned

Mar 3, 2026

Organization subpart

No

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

Authorized official

Name

Oliver Tello, PTNPI 1417149345

Title

Owner

Phone

(917) 295-1025

Specialties & licenses 1

Addresses

Practitioners 1

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

• Oliver Tello, MS, PT

  • Physical Therapist
  • Merrick, NY
  • NPI 1417149345
  NPD Authorized official

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1558216648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6093 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855926",
            "telephone_number": "718-490-9909",
            "fax_number": "347-223-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6093 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855926",
            "telephone_number": "718-490-9909",
            "fax_number": "347-223-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS BROOKLYN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "TELLO",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-295-1025",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Portorreal
• Laura Potel, LCAT
• Prime Care Chemists Inc
• Christopher Ptak, PA-C
• Putnam RX Inc
• Queens Chiropractic and Physical Therapy PLLC
• Queens Chiropractic Associates, PC
• Juan Carlos Quinatoa, RPH
• Cristina Quintanilla
• Jaime Quizhpi

• Physical Therapist in Ridgewood, NY
• Providers in Ridgewood, 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 Mar 3, 2026; 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.