Organization Active NPI

MGH Physical Therapy PC

  • Specialist
  • Flushing, NY
National Provider Identifier
1891220968
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MGH PHYSICAL THERAPY PC
Practice address
14428 34TH Ave
Flushing, NY 11354-3127
Phone
(917) 578-3337
NPI assigned
Apr 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Mr. Marios Haritos, PTNPI 1043641970
Title
Owner
Phone
(917) 578-3337

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

14428 34TH Ave
Flushing, NY 11354-3127

Mailing address

14428 34TH Ave
Flushing, NY 11354-3127
Phone (917) 578-3337

Other names 1

  • MGH Physical Therapy PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170802003288 NY Part B Supplier - Clinic/Group Practice 4183995541 Receives reassigned benefits from 1 practitioner
Practice locations: Whitestone, NY

National Provider Directory

National Provider Directory

Locations

14960 Willets Point Blvd
Whitestone, NY 11357
Phone (516) 746-3135

Practitioners & affiliated clinicians

Practitioners 1

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": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1891220968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14428 34TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543127",
            "telephone_number": "917-578-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14428 34TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543127",
            "telephone_number": "917-578-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "HARITOS",
        "authorized_official_first_name": "MARIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-578-3337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGH Physical Therapy PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.