Annie Black PT & Rehab PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6044-1 Issued in NY

Legal business name

ANNIE BLACK PT & REHAB PC

Practice address

11006 72ND Ave
Suite MD 2
Forest Hills, NY 11375-4900

Phone

(718) 268-6072

Fax

(718) 268-0226

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By 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

Ms. Annie Black, M.P.T.NPI 1063412286

Title

President

Phone

(718) 268-6072

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Annie Black, M. A., P. T.

  • Physical Therapist
  • Forest Hills, NY
  • NPI 1063412286
  Authorized official Same address or phone
• Danahlee-Lalaine De Garcia Sindo, B. S., P.T.

  • Physical Therapist
  • Flushing, NY
  • NPI 1275857393
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811015936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11006 72ND AVE",
            "address_2": "SUITE MD 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754900",
            "telephone_number": "718-268-6072",
            "fax_number": "718-268-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11006 72ND AVE",
            "address_2": "SUITE MD 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754900",
            "telephone_number": "718-268-6072",
            "fax_number": "718-268-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE BLACK PT & REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-268-6072",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "6044-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Forest Hills, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.