Community Care Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031350-1 Issued in NY

Legal business name

COMMUNITY CARE PHYSICAL THERAPY P.C.

Practice address

8510 122ND St
Kew Gardens, NY 11415-3232

Phone

(718) 501-0421

NPI assigned

Jun 10, 2013

Organization subpart

No

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

Authorized official

Name

Virender Jain

Title

Manager

Phone

(917) 715-7671

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1881032084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 122ND ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153232",
            "telephone_number": "718-501-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 122ND ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153232",
            "telephone_number": "718-501-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "VIRENDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-715-7671"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031350-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "031350-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Child Center of New York
• Jennifer Chin, OD
• Wai Ling Kennis Chu, NP
• Cityhealth Medical PC
• Rose Cohen, MS
• Comprehensive Consultation Services
• Matthiessen Condy, L.M.S.W.
• Contreras Occupational Therapy P.C.
• Luz Denia Contreras
• Maggie-Mae Cronin

• Physical Therapist in Kew Gardens, NY
• Providers in Kew Gardens, 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 Jun 10, 2013; 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.