Promet Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028643 Issued in NY

Legal business name

PROMET PHYSICAL THERAPY PC

Practice address

7119 80TH St Ste 8210
Glendale, NY 11385-7733

Phone

(718) 554-6610

NPI assigned

Oct 3, 2007

Last updated

Sep 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Maria A Marquez

Title

Office Manager

Phone

(718) 554-6610

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Promet Physical Therapy PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Promet Physical Therapy, PC

  • Physical Therapist
  • Kew Gardens, NY
  • NPI 1164738936
  NPD tax ID
• Promet Physical Therapy, PC

  • Physical Therapist
  • Manhassett, NY
  • NPI 1184281537
  NPD tax ID

Locations

Practitioners 26

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.

• Mina Gerges, PT

  • Physical Therapist
  • Glendale, NY
  • NPI 1942188537
  Medicare reassignment Care Compare group NPD
• Katherine J Gili, DPT

  • Physical Therapist
  • Glendale, NY
  • NPI 1205442779
  Medicare reassignment Care Compare group NPD
• Cindy Pham

  • Physical Therapist
  • Jamaica, NY
  • NPI 1477318996
  Medicare reassignment Care Compare group NPD
• Kashish Nilang Shah

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1265323604
  Medicare reassignment Care Compare group NPD
• Abin Varghese

  • Physical Therapist
  • Glendale, NY
  • NPI 1215825179
  Medicare reassignment Care Compare group NPD
• Brian Zheng, DPT

  • Physical Therapist
  • Glendale, NY
  • NPI 1982363206
  Medicare reassignment Care Compare group NPD
• Ryan Martin, DPT

  • Physical Therapist
  • Glendale, NY
  • NPI 1780708388
  Medicare reassignment Care Compare group
• Christian Cardenas, DPT

  • Physical Therapist
  • Kew Gardens, NY
  • NPI 1235775164
  Medicare reassignment NPD
• Antonio V Colletti

  • Physical Therapist
  • Glendale, NY
  • NPI 1740793116
  Medicare reassignment NPD
• Daniel R Haufe, DPT

  • Physical Therapist
  • Great Neck, NY
  • NPI 1639682594
  Medicare reassignment NPD
• Christos Michael Kostas Mouzakitis, DPT

  • Physical Therapist
  • Great Neck, NY
  • NPI 1225674161
  Medicare reassignment NPD
• Jason John Villano, DPT

  • Physical Therapist
  • Albertson, NY
  • NPI 1669985586
  Medicare reassignment NPD

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1710174784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 80TH ST STE 8210",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857733",
            "telephone_number": "718-554-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 80TH ST STE 8210",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857733",
            "telephone_number": "718-554-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13828 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Briarwood",
            "state": "NY",
            "postal_code": "114352666",
            "country_code": "US",
            "telephone_number": "718-880-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROMET PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-554-6610",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Glendale, NY
• Providers in Glendale, 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 Sep 3, 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.