Organization Active NPI

Accelerated Rehabilitation and Physical Therapy PC

  • Physical Therapist
  • Jackson Heights, NY
National Provider Identifier
1760728091
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032749 Issued in NY
Legal business name
ACCELERATED REHABILITATION AND PHYSICAL THERAPY PC
Practice address
87-10 37TH Ave
Jackson Heights, NY 11372
Phone
(718) 507-8675
NPI assigned
Dec 13, 2012
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Dr. Nadir Memon, DPTNPI 1629389259
Title
Doctor of Physical Therapy
Phone
(631) 804-2299

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 032749 NY Primary

Addresses

Primary practice location

87-10 37TH Ave
Jackson Heights, NY 11372

Mailing address

127 Myles Ave
Levittown, NY 11756-1715
Phone (631) 804-2299

Other identifiers 1

IdentifierTypeStateIssuer
03436688MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130404000126 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931344496 Receives reassigned benefits from 1 practitioner
Practice locations: Central Islip, NY; Jericho, NY

National Provider Directory

National Provider Directory

Locations

1551 Islip Ave
Central Islip, NY 11722
Phone (631) 761-9521

61 Jericho Tpke
Fl 2
Jericho, NY 11753
Phone (631) 761-9521

Practitioners & affiliated clinicians

Practitioners 1

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": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1760728091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MYLES AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561715",
            "telephone_number": "631-804-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-10 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-507-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED REHABILITATION AND PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "NADIR",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "631-804-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03436688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.