Ron Kassab, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013270-1 Issued in NY

Practice address

10740 Queens Blvd
Suite 207
Forest Hills, NY 11375-4252

Phone

(718) 261-3100

Fax

(718) 261-2915

NPI assigned

Aug 21, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ergo Physical Therapy PCGroup PAC ID 9931123650, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ergo Physical Therapy, PC

  • Physical Therapist
  • Forest Hills, NY
  • NPI 1285856898
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841306370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6854 EXETER ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 QUEENS BLVD",
            "address_2": "SUITE 207",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754252",
            "telephone_number": "718-261-3100",
            "fax_number": "718-261-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAB",
        "first_name": "RON",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013270-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Kariyev, DPT
• Deborah Jane Karnbad, LCSW
• Rhonda L. Karol, M.D.
• Alexandra Maria Kasparian, PA-C
• Jeffrey C Kass, DPM
• Hope Kassen
• Jana Kataev, MS OTR/L
• Svetlana Katanov, OD
• Yakov Katanov, PHARMD
• Barbara Katrakazos

• Physical Therapist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.