Crown Rehab, PT, OT, SLP, LLP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016523 Issued in NY

Legal business name

CROWN REHAB, PT, OT, SLP, LLP

Practice address

355 Troy Ave
Brooklyn, NY 11213-5320

Phone

(718) 774-6144

NPI assigned

Jan 31, 2012

Last updated

Feb 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chaim Backman, PT

Title

President

Phone

(718) 774-6144

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328918400000",
    "number": "1790057297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TROY AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11213",
            "telephone_number": "718-774-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 TROY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135320",
            "telephone_number": "718-774-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN REHAB, PT, OT, SLP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-02-11",
        "status": "A",
        "authorized_official_last_name": "BACKMAN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-774-6144",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016523",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crown Medical Supply
• Crown Multi Educational Services
• Crown Multieducational Services
• Crown Nursing Home Associates Inc. (Crown Nursing and Rehabilitation Center)
• Crown of Life Ny LLC
• Crown RX Inc
• Kim Crown
• Crowne of Life Care, Inc.
• Makini Cruickshank
• Isaiah Tobias Crum, M.D.

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2012; 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.