East Flushing Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021285-1 Issued in NY

Legal business name

EAST FLUSHING PHYSICAL THERAPY PC

Practice address

26 Broadway Ste 931
New York, NY 10004-1710

Phone

(646) 886-8687

Fax

(212) 656-1091

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Sanchu ChackoNPI 1801098645

Title

Owner

Phone

(646) 886-8687

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

East Flushing Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East Flushing Physical Therapy, PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1740483650
  NPD tax ID

Locations

Practitioners 4

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.

• Sanchu Chacko, RPT

  • Physical Therapist
  • New York, NY
  • NPI 1801098645
  Medicare reassignment NPD Authorized official
• Unknown Anuja Mathew

  • Physical Therapist
  • New York, NY
  • NPI 1457789299
  Medicare reassignment NPD
• Rojan John Pappady

  • Physical Therapist
  • New Hyde Park, NY
  • NPI 1245994391
  Medicare reassignment NPD
• Rupali Joshi

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1649580903
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1790987535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CENTER DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402302",
            "telephone_number": "646-886-8687",
            "fax_number": "212-656-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BROADWAY STE 931",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041710",
            "telephone_number": "646-886-8687",
            "fax_number": "212-656-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FLUSHING PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "SANCHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-886-8687"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021285-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Coast Plastic Surgery PLLC
• East Coast Radiology, P.C.
• East Drive Pharmacy, Inc.
• East End Comprehensive Psychological Services, P.C.
• East End Pharmacy Inc
• East Harlem Apothecary Inc
• East Harlem Apothecary Inc
• East Harlem Council for Community Improvement
• East Harlem Council for Community Improvement
• East Harlem Council for Community Improvement

• Physical Therapist in New York, NY
• Providers in New York, 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 Jul 24, 2023; 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.