Active NPI
Rejomon Philip, PT
- Physical Therapist
- Jamaica, NY
National Provider Identifier
1669990602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041943
- Practice address
- 17900 Linden Blvd
Jamaica, NY 11425-2528 - Phone
- (718) 526-1000
- NPI assigned
- Aug 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041943 | NY | Primary |
Addresses
Primary practice location
17900 Linden Blvd
Jamaica, NY 11425-2528
Mailing address
215 Biltmore Ave
Elmont, NY 11003-1537
Other practice location 1
72 Franklin Ave Ste 1
Franklin Square, NY 11010-2528
Phone (516) 499-0693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041943 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Motion Home Rehab LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1528914967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1669990602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 BILTMORE AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 LINDEN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114252528",
"telephone_number": "718-526-1000"
}
],
"practiceLocations": [
{
"address_1": "72 Franklin Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Franklin Square",
"state": "NY",
"postal_code": "110102528",
"country_code": "US",
"telephone_number": "516-499-0693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILIP",
"first_name": "REJOMON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-30",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041943",
"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 Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.