NPIMap

Organization Active NPI

East Flushing Physical Therapy, PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1740483650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021285-1 Issued in NY
Legal business name
EAST FLUSHING PHYSICAL THERAPY, PC
Practice address
189 Montague St
Suite 302
Brooklyn, NY 11201-3610
Phone
(212) 742-8000
Fax
(212) 742-1557
NPI assigned
Jun 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sanchu Chacko, RPTNPI 1801098645
Title
Owner
Phone
(212) 742-8000

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 Therapist 225100000X 021285-1 NY Primary

Addresses

Primary practice location

189 Montague St
Suite 302
Brooklyn, NY 11201-3610

Mailing address

189 Montague St
Suite 302
Brooklyn, NY 11201-3610
Phone (212) 742-8000

National Provider Directory

National Provider Directory
Tax ID family
East Flushing Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

189 Montague St
Ste 302
Brooklyn, NY 11201
Phone (718) 403-9000

Practitioners & affiliated clinicians

Practitioners 3

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740483650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MONTAGUE ST",
            "address_2": "SUITE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013610",
            "telephone_number": "212-742-8000",
            "fax_number": "212-742-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MONTAGUE ST",
            "address_2": "SUITE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013610",
            "telephone_number": "212-742-8000",
            "fax_number": "212-742-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FLUSHING PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "SANCHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-742-8000",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021285-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.