Organization Active NPI

Physical Therapy Care of Ny, PC

  • Physical Therapist
  • Dix Hills, NY
National Provider Identifier
1841415643
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015236-1 Issued in NY
Legal business name
PHYSICAL THERAPY CARE OF NY, PC
Practice address
44 Bonaire Dr
Dix Hills, NY 11746-6502
Phone
(516) 635-5630
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Ramak Bakhshoudeh, P.T.
Title
Owner President
Phone
(516) 635-5630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 015236-1 NY Primary

Addresses

Primary practice location

44 Bonaire Dr
Dix Hills, NY 11746-6502

Mailing address

44 Bonaire Dr
Dix Hills, NY 11746-6502
Phone (516) 635-5630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1841415643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BONAIRE DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466502",
            "telephone_number": "516-635-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BONAIRE DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466502",
            "telephone_number": "516-635-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CARE OF NY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "BAKHSHOUDEH",
        "authorized_official_first_name": "RAMAK",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "516-635-5630",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015236-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.