Action Physical Therapy & Rehabilitation PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

026848 Issued in NY

Legal business name

ACTION PHYSICAL THERAPY & REHABILITATION PC

Practice address

10825 Merrick Blvd
Jamaica, NY 11433-2933

Phone

(718) 658-9700

Fax

(718) 658-9703

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Simone T Desouza, D.P.T

Title

Ceo

Phone

(718) 658-9700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1760718381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10825 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332933",
            "telephone_number": "718-658-9700",
            "fax_number": "718-658-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332933",
            "telephone_number": "718-658-9700",
            "fax_number": "718-658-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION PHYSICAL THERAPY & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "DESOUZA",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-658-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "026848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlo Acevedo
• Keicha Acevedo
• Kishal Jagdish Acharya
• Kerree Achille-Westmoreland
• Rita G. Ackerman, LCSW
• Actioncare Medical Supply
• Active Care Inc.
• Active Healing Physical Therapy, PLLC
• Active United Care Physical Therapy, PLLC
• Ad Elderly Care, Corp (Savita Persaud)

• Physical Therapy Clinic/Center in Jamaica, NY
• Providers in Jamaica, 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 Nov 2, 2009; 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.