Organization Active NPI

Rehab Synergy PT, PC.

  • Physical Therapy Clinic/Center
  • Woodside, NY
National Provider Identifier
1811322894
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHAB SYNERGY PT, PC.
Practice address
3530 64TH St
Woodside, NY 11377-2354
Phone
(914) 426-7423
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Authorized official

Name
Mr. Basilio Lopez, PT
Title
Physical Therapy
Phone
(914) 426-7423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3530 64TH St
Woodside, NY 11377-2354

Mailing address

3530 64TH St
Woodside, NY 11377-2354
Phone (914) 426-7423

National Provider Directory

National Provider Directory

Locations

33 Front St
Ste 106
Hempstead, NY 11550
Phone (516) 292-2800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1811322894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 64TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772354",
            "telephone_number": "914-426-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 64TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772354",
            "telephone_number": "914-426-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SYNERGY PT, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "BASILIO",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "914-426-7423",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.