NPIMap

Organization Active NPI

PT and OT for Senior Rehab at Home PLLC

  • Geriatric Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1811463003
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
PT AND OT FOR SENIOR REHAB AT HOME PLLC
Practice address
171 Kings Hwy
Brooklyn, NY 11223-1023
Phone
(914) 837-6538
Fax
(888) 613-3109
NPI assigned
Oct 16, 2018
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Daisy StephenNPI 1457906612
Title
VP
Phone
(914) 837-6538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X Primary
Gerontology Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XG0600X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

171 Kings Hwy
Brooklyn, NY 11223-1023

Mailing address

171 Kings Hwy
Brooklyn, NY 11223-1023
Phone (914) 837-6538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190311001487 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668711573 Receives reassigned benefits from 263 practitioners
Practice locations: Brooklyn, NY; Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

8008 45th Ave
Ofc
Elmhurst, NY 11373

8008 45th Ave
Ofc Only
Elmhurst, NY 11373

Practitioners & affiliated clinicians

Practitioners 285

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.

View all 285

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1811463003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231023",
            "telephone_number": "914-837-6538",
            "fax_number": "888-613-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231023",
            "telephone_number": "914-837-6538",
            "fax_number": "888-613-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT AND OT FOR SENIOR REHAB AT HOME PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "914-837-6538"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.