Active NPI
Rockaway Park Rehab Assoc PT & OT
- Physical Therapist
- Rockaway Park, NY
National Provider Identifier
1740953504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ROCKAWAY PARK REHAB ASSOC PT & OT
- Practice address
- 10322 Rockaway Beach Blvd
Rockaway Park, NY 11694-2739 - Phone
- (718) 318-8550
- NPI assigned
- Jul 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mordechai Shedrowitzky, PT
- Title
- Owner/PT
- Phone
- (718) 781-0567
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
10322 Rockaway Beach Blvd
Rockaway Park, NY 11694-2739
Mailing address
2072 Ocean Ave Apt 101
Brooklyn, NY 11230-7384
Phone (718) 616-1450
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | webpt.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1699042390
-
- Physical Therapist
- Brooklyn, NY
- NPI 1578662201
-
- Specialist
- Brooklyn, NY
- NPI 1225542483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627430400000",
"number": "1740953504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2072 OCEAN AVE APT 101",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112307384",
"telephone_number": "718-616-1450",
"fax_number": "718-743-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10322 ROCKAWAY BEACH BLVD",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942739",
"telephone_number": "718-318-8550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKAWAY PARK REHAB ASSOC PT & OT",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A",
"authorized_official_last_name": "SHEDROWITZKY",
"authorized_official_first_name": "MORDECHAI",
"authorized_official_title_or_position": "OWNER/PT",
"authorized_official_telephone_number": "718-781-0567",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "webpt.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "emr",
"address_1": "10322 Rockaway Beach Blvd",
"city": "Rockaway Park",
"state": "NY",
"country_code": "US",
"postal_code": "116942739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockaway Park, NY
- Rockaway Drugs Inc. (Kings Pharmacy)
- Rockaway Drugs Inc. (Kings Pharmacy)
- Rockaway Imaging, P.C.
- Rockaway Park Foot Care PLLC
- Rockaway Park Physical Therapy PLLC
- Rockaways ASC Development, LLC. (Rockaways Ambulatory Surgery Center)
- David Steven Rogoff, DDS
- Tami Lynn Romano, PHARMD
- Irina Rozman
- Anne-Marie Ruggiero-Miller, MSED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.