Region Home Therapy Corp

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: office@regionhometherapy.com

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275047763",
            "state": "NY"
        }
    ],
    "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": []
}

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• Rehabilitation Practitioner in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Rehabilitation Practitioner in New York

• 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.

Verify at the official NPI Registry.