Active NPI
Red Core Ptpta and Rehabilitation PLLC
- Physical Therapist
- Bronx, NY
National Provider Identifier
1780217091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- RED CORE PTPTA AND REHABILITATION PLLC
- Practice address
- 418 E 138TH St
Bronx, NY 10454-3136 - Phone
- (718) 509-9888
- Fax
- (718) 509-6144
- NPI assigned
- Feb 14, 2020
- Last updated
- Feb 14, 2020
- Organization subpart
- Yes
- Parent organization
- RED CORE PTPTA AND REHABILITATION PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eduard Kho
- Title
- Senior Physical Therapist
- Phone
- (718) 509-9888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
418 E 138TH St
Bronx, NY 10454-3136
Mailing address
PO Box 780173
Maspeth, NY 11378-0173
Phone (718) 509-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160616000776 | NY | Part B Supplier - Clinic/Group Practice | 4880985175 |
Receives reassigned benefits from 5 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bronx, NY; Brooklyn, NY |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Redcore Physical Therapy
- Physical Therapist
- Ridgewood, NY
- NPI 1043698228
O20160616000776
-
dba Redcore Physical Therapy
- Physical Therapist
- Jamaica, NY
- NPI 1710518022
O20160616000776
National Provider Directory
National Provider Directory- Part of
- Redcore Physical Therapy and Rehabilitation LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581638400000",
"number": "1780217091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780173",
"city": "MASPETH",
"state": "NY",
"postal_code": "113780173",
"telephone_number": "718-509-9888",
"fax_number": "718-509-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 E 138TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104543136",
"telephone_number": "718-509-9888",
"fax_number": "718-509-6144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED CORE PTPTA AND REHABILITATION PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RED CORE PTPTA AND REHABILITATION PLLC",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A",
"authorized_official_last_name": "KHO",
"authorized_official_first_name": "EDUARD",
"authorized_official_title_or_position": "SENIOR PHYSICAL THERAPIST",
"authorized_official_telephone_number": "718-509-9888"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.