Organization Active NPI

Rehab Partners PT PC

  • Physical Therapist
  • Ridgewood, NY
National Provider Identifier
1699119347
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHAB PARTNERS PT PC
Practice address
6009 Myrtle Ave
Ridgewood, NY 11385-5933
Phone
(347) 472-1834
Fax
(347) 472-1838
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Dr. Adam Gazdzinski, DPT, ECS, OCSNPI 1124236336
Title
President
Phone
(646) 863-8353

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 TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X NY Primary

Addresses

Primary practice location

6009 Myrtle Ave
Ridgewood, NY 11385-5933

Mailing address

927 Fulton St
Farmingdale, NY 11735-4206
Phone (646) 863-8353

Other identifiers 1

IdentifierTypeStateIssuer
02227681MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213000544 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072949957 Receives reassigned benefits from 3 practitioners
Practice locations: Ridgewood, NY

National Provider Directory

National Provider Directory

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": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1699119347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354206",
            "telephone_number": "646-863-8353",
            "fax_number": "201-509-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855933",
            "telephone_number": "347-472-1834",
            "fax_number": "347-472-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB PARTNERS PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "GAZDZINSKI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-863-8353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, ECS, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02227681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.