Organization Active NPI

Rapha Office & Home Physical Therapy Services P.C.

Doing business as Omni Physical Therapy and Wellness

  • Specialist
  • Garden City, NY
National Provider Identifier
1689083610
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
027084 Issued in NY
Legal business name
RAPHA OFFICE & HOME PHYSICAL THERAPY SERVICES P.C.
Doing business as
Omni Physical Therapy and Wellness
Practice address
1100 Stewart Ave Ste B
Garden City, NY 11530-4839
Phone
(516) 427-5380
Fax
(516) 386-6666
NPI assigned
Aug 4, 2014
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Samkutty Cyriac, MPTNPI 1104877422
Title
Owner
Phone
(516) 427-5385

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 027084 NY Primary

Addresses

Primary practice location

1100 Stewart Ave Ste B
Garden City, NY 11530-4839

Mailing address

1043 N 5TH St
New Hyde Park, NY 11040-2939
Phone (917) 560-1734

Other names 1

  • Omni Physical Therapy and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060106000861 NY Part B Supplier - Clinic/Group Practice 1759304561 Receives reassigned benefits from 3 practitioners
Practice locations: Garden City, NY

National Provider Directory

National Provider Directory

Locations

1100 Stewart Ave
Ste B
Garden City, NY 11530
Phone (516) 427-5380

1110B Stewart Ave
Garden City, NY 11530

333 Earle Ovington Blvd
Ste LL6
Uniondale, NY 11553
Phone (516) 888-0123

Practitioners & affiliated clinicians

Practitioners 4

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": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1689083610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 N 5TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402939",
            "telephone_number": "917-560-1734",
            "fax_number": "516-352-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 STEWART AVE STE B",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304839",
            "telephone_number": "516-427-5380",
            "fax_number": "516-386-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA OFFICE & HOME PHYSICAL THERAPY SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "CYRIAC",
        "authorized_official_first_name": "SAMKUTTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-427-5385",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "027084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.