Healthway Rehabilitation PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030439 Issued in NY

Legal business name

HEALTHWAY REHABILITATION PT PC

Practice address

102-06 Metropolitan Avenue
Forest Hills, NY 11375

Phone

(718) 674-6237

NPI assigned

Jan 4, 2016

Organization subpart

No

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

Authorized official

Name

Glenn Domingo Calubaquib, DPT

Title

DPT

Phone

(718) 213-2577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1851757090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82-50 135TH STREET",
            "address_2": "APT6F",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-213-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102-06 METROPOLITAN AVENUE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-674-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWAY REHABILITATION PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "CALUBAQUIB",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "718-213-2577",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Ware Corp
• Healthmakers Medical Group, P.C.
• Healthwell NP Family Health PC
• Healthwell Physical Thererapy,PC.
• Healthy Choice Services Inc
• Healthy Corner Pharmacy Inc (Healthy Corner Pharmacy Inc (LTC))
• Healthy Corner Pharmacy Inc

• 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 Jan 4, 2016; 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.