Organization Active NPI

Physical Therapy Link PC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1609146943
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031825 Issued in NY
Legal business name
PHYSICAL THERAPY LINK PC
Practice address
396 Arlene St
Staten Island, NY 10314-3226
Phone
(718) 370-8830
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Faten Zaky Hassan, PTNPI 1225261837
Title
Owner
Phone
(718) 370-8830

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 031825 NY Primary

Addresses

Primary practice location

396 Arlene St
Staten Island, NY 10314-3226

Mailing address

49 Woodcrest Rd
Staten Island, NY 10303-1730
Phone (718) 370-8830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000766 NY Part B Supplier - Clinic/Group Practice 3577721984 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Staten Island, NY

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Link2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1609146943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WOODCREST RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031730",
            "telephone_number": "718-370-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 ARLENE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143226",
            "telephone_number": "718-370-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY LINK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "FATEN",
        "authorized_official_middle_name": "ZAKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-370-8830",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.