Active NPI
Rafal Charkiewicz, DPT
- Physical Therapist
- Woodbury, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 051174
- Practice address
- 205 Froehlich Farm Blvd
Woodbury, NY 11797-2931 - Phone
- (516) 364-0070
- NPI assigned
- Sep 12, 2023
- Last updated
- Sep 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 051174 | NY | Primary |
Addresses
Primary practice location
205 Froehlich Farm Blvd
Woodbury, NY 11797-2931
Mailing address
12 Miller St
Glen Cove, NY 11542-1820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
259 Walt Whitman Rd
Huntington Station, NY 11746-4119
Phone (516) 683-5455
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051174 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Island Orthopedics, P.C. | Current | Accepting new patients | |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| South Island Orthopedics, P.C. | Current | Accepting new patients |
Locations
610 Central Ave
Cedarhurst, NY 11516
Phone (516) 537-5500
657 Central Ave
Cedarhurst, NY 11516
Phone (516) 374-0670
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
259 Walt Whitman Rd
Huntington Station, NY 11746
Phone (516) 738-4844
510 Old Country Rd
Plainview, NY 11803
Phone (516) 433-6662
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
50 Charles Lindbergh Blvd
Ste 103
Uniondale, NY 11553
Phone (516) 294-4590
205 Froehlich Farm Blvd
Woodbury, NY 11797
Phone (516) 364-0070
Interoperability endpoints
- https://api.platform.athenahealth.com/20311/brand/2/csg/21/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Orthopaedic Surgery Physician
- Cedarhurst, NY
- NPI 1194377465
-
- Orthopaedic Surgery Physician
- Rockville Centre, NY
- NPI 1912673856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1770360745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MILLER ST",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115421820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 FROEHLICH FARM BLVD",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972931",
"telephone_number": "516-364-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARKIEWICZ",
"first_name": "RAFAL",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-12",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "051174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.