Functional Physical Therapy Rehab PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

026983-1 Issued in NY

Legal business name

FUNCTIONAL PHYSICAL THERAPY REHAB PC

Practice address

8131 Baxter Ave
Suite CD
Elmhurst, NY 11373-1315

Phone

(718) 424-5151

Fax

(718) 424-9119

NPI assigned

Sep 20, 2009

Organization subpart

No

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

Authorized official

Name

Joaquin CharrisNPI 1205160033

Title

President

Phone

(718) 424-5151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Joaquin Charris, PT

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1205160033
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1760716047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 BAXTER AVE",
            "address_2": "SUITE CD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731315",
            "telephone_number": "718-424-5151",
            "fax_number": "718-424-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 BAXTER AVE",
            "address_2": "SUITE CD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731315",
            "telephone_number": "718-424-5151",
            "fax_number": "718-424-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PHYSICAL THERAPY REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-20",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "CHARRIS",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-424-5151"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "026983-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Frey
• Abbey Lauren Friedman
• Jordan Frigerio, M.D.
• Armando Fuentes, PHD
• Reiko Fujisawa, CAT
• Marlene Agnes Fussner, NP
• G Dental PC
• Gabriel Gustin MD PC
• Elizabeth Gadsden, LCSW
• Martin J Gaffney, LCSW

• Physical Therapy Clinic/Center in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.