Creative Physical Therapy Care PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CREATIVE PHYSICAL THERAPY CARE PLLC

Practice address

542 Westfield Dr
Valley Cottage, NY 10989-1320

Phone

(646) 415-2448

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Wadeaa Edwar Mina Ibrahimm, PTNPI 1609309962

Title

Owner/Physical Therapist

Phone

(646) 415-2448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wadeaa Ibrahimm

  • Physical Therapist
  • Forest Hills, NY
  • NPI 1609309962
  Medicare reassignment Care Compare group NPD Authorized official
• Mera Greec, PT

  • Physical Therapist
  • Bloomfield, NJ
  • NPI 1306548706

  NY, Single Specialty

  Medicare reassignment Care Compare group NPD
• Elia Saeed

  • Physical Therapist
  • Bayonne, NJ
  • NPI 1639972102

  NY

  Medicare reassignment Care Compare group NPD
• Remon Gad, PT

  • Physical Therapist
  • New City, NY
  • NPI 1023642709
  NPD (past)

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1700545803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 WESTFIELD DR",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891320",
            "telephone_number": "646-415-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 WESTFIELD DR",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891320",
            "telephone_number": "646-415-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PHYSICAL THERAPY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "IBRAHIMM",
        "authorized_official_first_name": "WADEAA",
        "authorized_official_middle_name": "EDWAR MINA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-415-2448",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan M Cohen, RPH
• Cheryl Cohen, OTR
• Jennifer Conforto, LMHC
• Jared Scott Corriel, M.D.
• Judy C Coyukiat, DMD
• Lisa Debra Cruz, M.S.ED.
• Peter Cummins
• Christey Curran, RN
• CVS Albany, LLC
• Rachelle Dacanay, OTR/L

• Physical Therapist in Valley Cottage, NY
• Providers in Valley Cottage, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.