Organization Active NPI

St.Catherine Rehab P.T, P.C

  • Physical Therapist
  • Woodhaven, NY
National Provider Identifier
1619199742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027596 Issued in NY
Legal business name
ST.CATHERINE REHAB P.T, P.C
Practice address
9309 91St Ave
Suite B1
Woodhaven, NY 11421-2745
Phone
(917) 609-4373
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sameh Elias, R.P.T
Title
Registered Physical Therapist
Phone
(917) 609-4373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 027596 NY Primary

Addresses

Primary practice location

9309 91St Ave
Suite B1
Woodhaven, NY 11421-2745

Mailing address

9309 91St Ave
Suite B1
Woodhaven, NY 11421-2745
Phone (917) 609-4373

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619199742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 91ST AVE",
            "address_2": "SUITE B1",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212745",
            "telephone_number": "917-609-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 91ST AVE",
            "address_2": "SUITE B1",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212745",
            "telephone_number": "917-609-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.CATHERINE REHAB P.T, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_title_or_position": "REGISTERED PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-609-4373",
        "authorized_official_credential": "R.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.