Active NPI
Accelerated Rehabilitation and Physical Therapy PC
- Physical Therapist
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032749
- 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, 2013
- 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
- Dr. Nadir Memon, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03436688 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- East Northport, NY
- NPI 1629389259
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.