Grand Health Care PT OT PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029200 Issued in NY

Legal business name

GRAND HEALTH CARE PT OT PLLC

Practice address

4344 Kissena Blvd
Suite la
Flushing, NY 11355-3784

Phone

(718) 878-2224

Fax

(718) 878-2010

NPI assigned

Sep 23, 2011

Organization subpart

No

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

Authorized official

Name

Jay Sarkar, OT

Title

President

Phone

(718) 878-2224

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1902189285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528160",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113528160",
            "telephone_number": "718-878-2224",
            "fax_number": "718-878-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 KISSENA BLVD",
            "address_2": "SUITE LA",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553784",
            "telephone_number": "718-878-2224",
            "fax_number": "718-878-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND HEALTH CARE PT OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "SARKAR",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-878-2224",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029200",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.