Active NPI
Region Home Therapy Corp
- Rehabilitation Practitioner
- Long Beach, NY
National Provider Identifier
1801419239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Legal business name
- REGION HOME THERAPY CORP
- Practice address
- 854 E Broadway Apt 3P
Long Beach, NY 11561-4731 - Phone
- (646) 463-3927
- NPI assigned
- May 20, 2020
- Last updated
- May 20, 2020
- 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
- Mr. Gregory Khaimov
- Title
- Occupational Therapist
- Phone
- (646) 463-3927
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
854 E Broadway Apt 3P
Long Beach, NY 11561-4731
Mailing address
854 E Broadway Apt 3P
Long Beach, NY 11561-4731
Phone (646) 463-3927
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | OFFICE@REGIONHOMETHERAPY.COM |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- office@regionhometherapy.com
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.
-
- Occupational Therapist
- Forest Hills, NY
- NPI 1275047763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1801419239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 E BROADWAY APT 3P",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115614731",
"telephone_number": "646-463-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 E BROADWAY APT 3P",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115614731",
"telephone_number": "646-463-3927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGION HOME THERAPY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "KHAIMOV",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "646-463-3927",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "OFFICE@REGIONHOMETHERAPY.COM",
"affiliation": "N",
"address_1": "854 E Broadway Apt 3P",
"city": "Long Beach",
"state": "NY",
"country_code": "US",
"postal_code": "115614731",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.