NPIMap

Organization Active NPI

Rehab One Physical Therapy PC

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1609013820
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015509 Issued in NY
Legal business name
REHAB ONE PHYSICAL THERAPY PC
Practice address
162-04 Jamaica Ave.
5FLR
Jamaica, NY 11432
Phone
(718) 206-4420
Fax
(718) 206-4423
NPI assigned
Jan 9, 2009
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
REHAB ONE PHYSICAL THERAPY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Igor Olevsky, PTNPI 1134291628
Title
PT
Phone
(917) 696-8896

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 Therapist 225100000X 015509 NY Primary

Addresses

Primary practice location

162-04 Jamaica Ave.
5FLR
Jamaica, NY 11432

Mailing address

162-04 Jamaica Ave.
5FLR
Jamaica, NY 11432
Phone (718) 206-4420

National Provider Directory

National Provider Directory
Tax ID family
Rehab One PC2 organizations share this tax ID, including this one
Part of
Rehab One PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1609013820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162-04 JAMAICA AVE.",
            "address_2": "5FLR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-206-4420",
            "fax_number": "718-206-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162-04 JAMAICA AVE.",
            "address_2": "5FLR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-206-4420",
            "fax_number": "718-206-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ONE PHYSICAL THERAPY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHAB ONE PHYSICAL THERAPY PC",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "OLEVSKY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "917-696-8896",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015509",
            "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 Jan 9, 2009; 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.