Khairul Pearson, P.T.a., P.C.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

006564-1 Issued in NY

Legal business name

KHAIRUL PEARSON, P.T.A., P.C.

Practice address

54 Wellsley LN
Coram, NY 11727-1013

Phone

(631) 680-1407

NPI assigned

Feb 20, 2013

Organization subpart

No

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

Authorized official

Name

Khairul Pearson, P.T.A.

Title

Physical Therapist Assistant

Phone

(631) 680-1407

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1699015156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1417",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117781417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WELLSLEY LN",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117271013",
            "telephone_number": "631-680-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAIRUL PEARSON, P.T.A., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "KHAIRUL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "631-680-1407",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006564-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lili Kanyoosky, RN
• Richard Constantine Kardovich, D.D.S.
• Ildegonde Karererwa
• Veronica Karris
• Patience Kesse
• Eesha Khan
• Muhammad T Khan, M.D.
• Nikhat S Khan, M.D.
• Toufiquzzaman Khandaker
• Hye Nam Kim

• Physical Therapy Assistant in Coram, NY
• Providers in Coram, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.