NPIMap

Organization Active NPI

Redcore Physical Therapy and Rehabilitation LLC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1821688052
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REDCORE PHYSICAL THERAPY AND REHABILITATION LLC
Practice address
13708 31St Rd
Flushing, NY 11354-2609
Phone
(718) 509-9888
NPI assigned
Jan 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Eduard Kho
Title
Senior Physical Therapist
Phone
(718) 509-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

13708 31St Rd
Flushing, NY 11354-2609

Mailing address

PO Box 780173
Maspeth, NY 11378-0173

National Provider Directory

National Provider Directory
Tax ID family
Redcore Physical Therapy and Rehabilitation LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1821688052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780173",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113780173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13708 31ST RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542609",
            "telephone_number": "718-509-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDCORE PHYSICAL THERAPY AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "KHO",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "SENIOR PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-509-9888"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.