NPIMap

Organization Active NPI

Baraka Physical Therapy

  • Physical Therapy Clinic/Center
  • Jackson Heights, NY
National Provider Identifier
1821472101
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
025928 Issued in NY
Legal business name
BARAKA PHYSICAL THERAPY
Practice address
33 47 91 Street Ground Floor
Jackson Heights, NY 11372
Phone
(347) 495-2219
Fax
(347) 242-3733
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Mary Luz Sanchez, DPT
Title
Clinical Director
Phone
(347) 495-2219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 025928 NY Primary

Addresses

Primary practice location

33 47 91 Street Ground Floor
Jackson Heights, NY 11372

Mailing address

33-47 91 Street Ground Floor
Jackson Heights, NY 11372
Phone (347) 495-2219

Other names 1

  • Buddies In Motion Pediatric Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baraka Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1821472101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33-47 91 STREET GROUND FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "347-495-2219",
            "fax_number": "347-242-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 47 91 STREET GROUND FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "347-495-2219",
            "fax_number": "347-242-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAKA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "347-495-2219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "025928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buddies In Motion Pediatric Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.