Organization Active NPI

Rehab Core Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New Hyde Park, NY
National Provider Identifier
1629480702
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
029200 Issued in NY
Legal business name
REHAB CORE PHYSICAL THERAPY PC
Practice address
1039 Marcus Ave
New Hyde Park, NY 11040-2157
Phone
(646) 354-9157
NPI assigned
May 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Mrs. Harleen Bawa, PTNPI 1871781021
Title
Director
Phone
(646) 354-9157

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 Therapy Clinic/Center 261QP2000X 029200 NY Primary

Addresses

Primary practice location

1039 Marcus Ave
New Hyde Park, NY 11040-2157

Mailing address

1039 Marcus Ave
New Hyde Park, NY 11040-2157
Phone (646) 354-9157

Other practice location 1

1165 Northern Blvd Ste 202
Manhasset, NY 11030-3048
Phone (516) 667-4331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140815001570 NY Part B Supplier - Clinic/Group Practice 8426275348 Receives reassigned benefits from 1 practitioner
Practice locations: Manhasset, NY

National Provider Directory

National Provider Directory

Locations

1165 Northern Blvd
Ste 202
Manhasset, NY 11030
Phone (516) 667-4331

2374 Jericho Tpke
New Hyde Park, NY 11040
Phone (646) 354-9157

Practitioners & affiliated clinicians

Practitioners 3

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": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1629480702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402157",
            "telephone_number": "646-354-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402157",
            "telephone_number": "646-354-9157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Northern Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303048",
            "country_code": "US",
            "telephone_number": "516-667-4331",
            "fax_number": "516-209-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHAB CORE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "BAWA",
        "authorized_official_first_name": "HARLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-354-9157",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "029200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.