NPIMap

Organization Active NPI

Rego Park Theracare Physical Therapy P.C.

  • Physical Therapist
  • Farmingville, NY
National Provider Identifier
1831275072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019595 Issued in NY
Legal business name
REGO PARK THERACARE PHYSICAL THERAPY P.C.
Practice address
465 Blue Point Rd Ste a
Farmingville, NY 11738-1839
Phone
(631) 732-1386
Fax
(631) 732-1544
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rex Ongoco Cruz, P.T.NPI 1881622207
Title
President
Phone
(631) 732-1386

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 019595 NY Primary

Addresses

Primary practice location

465 Blue Point Rd Ste a
Farmingville, NY 11738-1839

Mailing address

67 Truxton Rd
Dix Hills, NY 11746-6725
Phone (631) 940-0926

Other identifiers 1

IdentifierTypeStateIssuer
1881622207OtherNYNPI INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

931 E Boston Post Rd
Mamaroneck, NY 10543
Phone (914) 698-6626

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831275072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 TRUXTON RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466725",
            "telephone_number": "631-940-0926",
            "fax_number": "631-940-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BLUE POINT RD STE A",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381839",
            "telephone_number": "631-732-1386",
            "fax_number": "631-732-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGO PARK THERACARE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "ONGOCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-732-1386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1881622207",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

  • 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.